Become a New Patient

Please bring a photo ID and current insurance card to all appointments.

We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient:

When you come to our office for the first time as a new patient, we'll ask you to complete some initial forms, including an Authorization and Consent for Treatment form, if you were not able to download them from the patient portal in advance of your appointment.

To make sure there are no delays in care during your first visit experience, please arrive 15 minutes prior to your scheduled appointment to ensure your registration is complete before meeting with your new provider.

Remember to bring:

Your insurance card
Valid US governement issued photo ID e.g. drivers license
Pharmacy Information: – Please have your pharmacy name, address and telephone number for us to be able to electronically prescribe your medications.
Diagnostic Laboratory: – Please contact your insurance to find out what your preferred lab (e.g.LabCorp, Quest) is that we need to send any bloodwork or specimens to.
Method of payment for your copay, coinsurance, deductible or any outstanding balances
List of current medications
Copies of any labs or imaging studies you may have had that are needed for your scheduled visit
Any letters of referral

In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait.

For patients who are delayed and arrive late for appointment, every effort will be made to see them the same day. However, wait times may apply, or appointments may need to be rescheduled.

Patient Forms

PWHC Medical Records Request for Release

PWHC HIPAA auth to disclose PHI

Preferred Contacts (PDF) – Patients are encouraged to complete and return the Preferred Contacts Form.

PWHC Financial and Other Policies

Portal Self Check In Guide

Patient Portal Registration Instructions

PWHC Demographic Form

PWHC Dental Letter

PWHC Medical History Form

Patient Forms

Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente

Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento

Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos

Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.

Office Policies

Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)

Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)

HIPAA Privacy Notice