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Let's get you scheduled.

Tell us whether you're new to the practice or already a patient, and we'll point you to the right place.

Welcome! Before your first visit, please complete these forms so we can spend your appointment on your care rather than paperwork.

01Patient Intake FormTell us about your history, insurance, medications, and lifestyle.Fill out form 02Authorization for Release of Medical InformationAuthorize AmpleHealth to release or obtain your protected health information.Fill out form 03Notice of Privacy PracticesReview how we protect your health information and acknowledge receipt.Fill out form 04No-Show & Late Cancellation PolicyReview and acknowledge our policy on missed appointments and late cancellations.Fill out form 05Patient Partnership PlanOur shared commitments — what you can expect from us, and what we ask of you.Fill out form 06Telemedicine Consent AgreementConsent to receiving care through our secure telemedicine platform.Fill out form

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Choose a time that works for you — new patients are always welcome.