PRE-VISIT

Complete Your Pre-Visit Forms

Established Patients

To make your appointment more efficient, please complete the required form(s) below at least 24 hours in advance. This allows your care team to review your information and be prepared for your visit.

MEDICAL PRE-VISIT FORM

Coming Soon

REFILL FORM

This refill request form is strictly for medications prescribed by our providers that are not routinely dispensed or evaluated during each patient visit. It is not applicable for medications like buprenorphine, which require a visit for continued management and refill authorization.

MAT INTAKE FORM

FORM PAGE

View Our Hybrid Schedule

To ensure your payment is processed instantly, you can use the links provided below or text our office to receive a direct link with the precise amount. Each payment button displays the visit fee before the 3.99% processing fee is applied.

Access Our Telemedicine Portal

If you don’t have a PayPal account or do not wish to use PayPal, you can use the form below to enter your payment details, and our office staff will process it for you at a later time.

Google Payment Form