New Patient Office Visit

The following documents will help expedite the registration process for your appointment. We ask that you please complete the following forms. The completed forms may be returned via mail, faxed to: (859) 277-4405, emailed to:, or brought with you to your appointment. Please call our office if you have any questions regarding these documents. Thank you for your assistance.

Online Forms

Please remember to bring your completed forms, along with the following pieces of information, to your scheduled appointment:

  • Insurance card
  • Photo ID
  • Referrals (If required by your insurance)
  • Co-payments (If required by your insurance)