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Bernalillo: Mon, Wed, Fri & Sat · Albuquerque: Tue & ThuBernalilloAlbuquerque(505) 867-3322
(505) 867-3322 (call)Request a visit

New patient paperwork

Intake Forms

Save time at your first visit: print the new patient paperwork, fill it in at home and bring it with you.

Page 1 of the new patient paperwork: patient information, insurance and reason for visit with body diagramsPage 1: patient information and reason for your visitPage 2 of the new patient paperwork: health history checkboxes and office policiesPage 2: health history and office policies
Download and print the paperwork (PDF)
Prefer email? Call (505) 867-3322

Two pages: your information, insurance and reason for your visit, then your health history and our office policies. We can also email it to you: just call and ask.

On the day

Bring it with you

  • Your completed paperwork
  • Your insurance card
  • Your ID
  • Comfortable clothes
What happens at your first visit