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 HIPAA Policy document and Cancellation Policy document prior to completing these forms.  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

HIPAA Policy.pdf
Adobe Acrobat Document 2.3 MB
Cancellation and Late Policy.pdf
Adobe Acrobat Document 97.0 KB

 220 Ruccio Way  #120, Lexington, KY 40503  

(859) 309-1095