NEW PATIENT INTAKE FORM

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NEw PatientS:

  • Fill out our “Intake Form” (Link above).

  • please include insurance information on intake form (if necessary).

  • Please Bring your valid ID and copy of INSURANCE CARD(S).

  • Please Bring any prior imaging REPORTS concerning your ailment.

  • Lastly, Call (304) 381-4144 to get your appointment scheduled.