New Patient Application
Thank you for entrusting us with your healthcare needs. We look forward to serving you with tailored, compassionate care that puts you first.
Click the secure link below to provide us with your information.
To complete your application by hand, simply click the link below to download the PDF file.
If you opt to complete your application by hand, simply
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Drop it off at our Winchester Square location
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Or fax it to (205)349-4015
If you have completed the applicaton online, dropping off a hard copy is not necessary.
Once you have been accepted as a new patient, you will receive a confirmation letter and are welcome to call our office to schedule your initial visit within 60 days of confirmation.
Patient Portal
As a new patient, you can sign up or log in to our patient portal to easily manage your information and book an appointment.