In order to serve you better and faster we have provided our New Patient Information Form online.
New patients, please complete and return your new patient registration forms at least 24 hours prior to your visit. You may fax or e-mail these so your electronic health record can be created prior to your arrival. Thank you for your cooperation.
New Patient Forms:
|New Patient Registration Form|
|HIPAA (Health Insurance Portability and Accountability Act)|
CareCredit is a personal line of credit for healthcare treatments and procedures for your entire family. It is a credit card but it has an advantage. You get No Interest if paid in full within the promotional period on purchases made with your CareCredit credit card.
Click here to pay your HLES bills online: