download Financial Agreement download Demographic Sheet download HIPAA Agreement download Cancellation Agreement medical history form Medical History Form



Most insurance plans are accepted. However, due to the changing number of insurance carriers and plans, please contact us to see if we accept your insurance.  


Are you tired of all the paperwork you are required to fill out in the doctor's office? Is it difficult for you to write when trying to provide your information or just plain time consuming? Would you like an alternative?

Why not complete the necessary medical questionnaire from the comfort of your home?

The secured web site is: https://doxweb.doxemr.com/PA_1299/PatientPortal.aspx

Please use the Internet Explorer browser to ensure accurate viewing.

Utilizing this option will cut down on your wait time and stress in the office when the focus should be on your medical issues and the doctors recommendations.

Your user name is:                                                                 
• 1st initial of your first name
• Your last name
• Your date of birth using two digits for the month, two digits for the day and four digits for the year.

Your password is:
• Your last name
• Your 10 digit phone number
• All in lower case, no commas, no dashes and no spaces.

Please try this exciting new method!