Patient Intake

Step 1 - Patient Intake Form

Print and complete your Patient Intake Form. These forms require information about each patient, insurance, emergency contact, medical history, and an understanding of our office policies.

Step 2 - Download Healow App

Download the Healow App and use our unique practice code: FDFCAA

• Send messages to your provider and receive important alerts and reminders from them

• Track you medications and send refill requests

• Access your personal health record - laps, vitals, progress notes

• Check your next appointment details online and even request and appointment

Need to print our office contact information?

Print our contact information to easily find the office or contact our staff!

“When someone shows you who he is, believe him the first time.”

- Maya Angelou