There are three forms to complete for appointments:

Step 1. Read all of these instructions, then click on Patient Demographics

Step 2. Complete the form entirely.

Step 3. To sign the form you will need to create a “Digital ID”.

(You will have 2 options. See below. We recommend “Windows Certificate Store” You only need your name and e-mail address.)

Step 4. Click on “Submit Form” at the top of the screen.

Step 5. Click on Medical History Questionnaire complete that form and submit it.

Step 6. Click on Office Policy complete that form and submit it. If the “Submit” button does not work, save the file to your computer, then attach it in an e-mail it to kceye@swbell.net

For Medical Records Release: Click on link for to or from follow the instructions above.