Welcome to our practice! We’re glad you’re here. To ensure we provide with the best care possible, please take a moment to complete our patient intake form. You have three convenient options for completing it.

 

Here are the three options for completing your Patient Intake Form:

1. Print, complete, and submit the form. Click Here for the form.

2. Call us, we will create your Patient Portal account and send you the link to personalized secure Patient Intake Form.

3. Log into your existing Patient Portal account to securely complete and submit your forms. After logging in go to Questionnaires then select "Medical History." This will launch the Direct Colon Screening and Consultation Form. Tip: If you need help remembering your username or resetting your password click on Trouble Logging in. 

Choose the option that works best for you, and thank you for helping us provide you with the best care!