New to our office?
Please click here and complete the form before your first office visit. This will save you time and make the office check in process easier.
When filling out your information online, please remember to double check the information before submitting.
Existing Patients
Everyone including previous/existing patients must fill their forms out online prior to your appointment.
Even if your information has not changed, please consent to treatment on the last tab.
Please text/call or email the office to receive your unique pass code allowing you to verify and update your patient information.
If you have any questions or need help with this form, please call us at 502-647-3937 for Shelbyville and 502-398-3937 for Louisville.