Step by Step Instructions for New Patient Registration

Step 1. Fill out this New Patient Registration Form

Step 2. Make sure these 4 documents have been completed. We will not be able to schedule you for an appointment until we have received all of this information. 

Patient Policies – https://hipaa.jotform.com/213308560398055

HIPAA authorization – https://hipaa.jotform.com/213316515566051 

ID + insurance card – https://hipaa.jotform.com/220176537233048  

Health History – https://hipaa.jotform.com/213308308256149

Step 3. If you were previously a Full Spectrum Health patient or if you would like us to be able to talk to any other healthcare provider, case manager, etc., please fill out the release of information (ROI) linked below. 

Release Of Information (ROI)https://hipaa.jotform.com/213311134471038

Step 4. We will reach out to you within 7-10 business days to schedule an appointment.