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Clinic Forms


If you have never been to our clinic please call us at 262-822-4844 to set up your first appointment.  New Patient visits are not available for online scheduling.

Once you’ve been scheduled we will send you a welcome email that will include a link for you to set up your account in our Secure Patient Portal. Please login with your email, create a password, click “NEW PATIENT HEALTH HISTORY FORM” and fill out the paperwork at least 48 hours before your first appointment. If you have any questions or issues, please call us 262-822-4844 or email  You may also print the PDF Version Here: New Patient Health History and mail or bring it in at least 48 hours prior to your appointment.



Please fill out the Insurance Verification Form and we will attempt to verify your coverage with your insurance provider. We will follow up with you via phone or email as soon as we can.

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