Patient Information

Patient Forms

Our Patient Portal is still under development. For your convenience please print and fill out the following new patient forms and bring to your appointment to expedite the registration process.

New Patient Registration Form (PDF)

Medical History Form (PDF)

HIPAA Global Authorization Form (PDF)

New Patient Information Form (PDF)

Authorized Accompaniment for Minor (PDF)

Patient Resources

Make An Online Payment

Prosper Healthcare Lending is the premier financing company in the healthcare industry. With over $5 Billion borrowed and over 250,000 people empowered, this is a name and a program you can trust.

Here are some of the benefits you'll receive with a loan from Prosper Healthcare Lending:

  • Immediate decisions without affecting your credit!
  • Longer terms for lower monthly payments
  • No collateral required
  • No prepayment penalties
  • Fast & easy loan inquiry process
  • 100% Confidential