Online Forms

NEW PATIENT FORMS

 1. Download, Print, and Complete the appropriate form(s) (If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download) 

 2. Bring your completed paperwork and insurance card (when applicable) to your appointment  (If you are unable to print, please fax your completed form to us at 502-326-9952 the day before your appointment)

Adult Patient Application for Care (Required for all adults unless pregnant)  Download & Print Form

Pregnant Patient Application for Care (Required if Pregnant) Download & Print Form

Infant/Child & Adolescent Patient Questionnaire (Required for all children) Download & Print Form

Personal Injury Form (Additional Information required for a Motor Vehicle Accident) Download & Print Form


**If you are unable to complete the appropriate forms prior to your appointment, 

please arrive 15 minutes before your appointment time.**

Office Hours

Our Regular Schedule

Monday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

9:00 am - 11:30 am

Closed

Wednesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

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