New Patients

Please click the Patient Forms link below and complete all four forms in the left hand column before pressing "Submit." 

You may download the Notice of Privacy Practices document prior to completing the HIPAA form.  You will sign the forms electronically when you arrive to your appointment.  We look forward to meeting you!


Please note that you must submit your birthday in the following format: mm/dd/yyyy

Notice of Privacy Practices
Notice of Privacy Practices.pdf
Adobe Acrobat Document 91.0 KB

 220 Ruccio Way  #120, Lexington, KY 40503  

(859) 309-1095