New Patient Information

ALL Patients are required to present a current and enforced PHOTO ID upon each Office Visit…there are absolutely NO EXCEPTIONS to this policy.

New Patients are taken on a walk-in basis.

New Patients must be signed in no later than 30 minutes prior to closing hour, in order to insure that our Physician and Staff have adequate time to invest in your initial office visit.

You may save time by completing your New Patient Paperwork prior to arrival at our office. You can print and complete these documents by clicking on the link below.

NEW PATIENT PAPERWORK

One of the most critical points to qualify as a patient with our Practice is to meet the BMI Standards for treatment. Please refer to the BMI Chart below to determine if you qualify as “Overweight” or “Obese”.

BMI Weight Status
Below 18.5 Underweight
18.5 -24.9 Normal
25 – 29.9 Overweight
30 & Above Obese

BMI Chart

BMI 19 20 21 22 23 24 25 26 27 28 29 30 35 40
Height Weight (lb.)
4′10″ 91 96 100 105 110 115 119 124 129 134 138 143 167 191
4′11″ 94 99 104 109 114 119 124 128 133 138 143 148 173 198
5′0″ 97 102 107 112 118 123 128 133 138 143 148 153 179 204
5′1″ 100 106 111 116 122 127 132 137 143 148 153 158 185 211
5′2″ 104 109 115 120 126 131 136 142 147 153 158 164 191 218
5′3″ 107 113 118 124 130 135 141 146 152 158 163 169 197 225
5′4″ 110 116 122 128 134 140 145 151 157 163 169 174 204 232
5′5″ 114 120 126 132 138 144 150 156 162 168 174 180 210 240
5′6″ 118 124 130 136 142 148 155 161 167 173 179 186 216 247
5′7″ 121 127 134 140 146 153 159 166 172 178 185 191 223 255
5′8″ 125 131 138 144 151 158 164 171 177 184 190 197 230 262
5′9″ 128 135 142 149 155 162 169 176 182 189 196 203 236 270
5′10″ 132 139 146 153 160 167 174 181 188 195 202 207 243 278
5′11″ 136 143 150 157 165 172 179 186 193 200 208 215 250 286
6′0″ 140 147 154 162 169 177 184 191 199 206 213 221 258 294
6′1″ 144 151 159 166 174 182 189 197 204 212 219 227 265 302
6′2″ 148 155 163 171 179 186 194 202 210 218 225 233 272 311
6′3″ 152 160 168 176 184 192 200 208 216 224 232 240 279 319
6′4″ 156 164 172 180 189 197 205 213 221 230 238 246 287 328
Business Website Design by Berry
rihanna sunporno hollister gambling youporn loguestbook bittorrent timekiller shoes pornhub masterwanker eskimotube wikepedia directv funny newgrounds naruto sublimedirectory nike sido maxporn mercury diy enterprise overstock youtube mlb obama fun accuweather nada faceparty mesobolin costumes hi5 brazzers genealogy fuckaroo asus honda juicyclips bicycle eminem lolicon cleavage lycos chantix pink fictionmania nordstrom nissan hotwire autotrader movies file hgtv ebaymotors tesco utorrent html test cas college lavalife femjoy cabelas macys sugababes ps3 weather big funberry redclouds quotes escorts golf excite yamaha realitykings nudes noaa break welivetogether love nba orbitz bose humoron bondage vagina obituaries juggworld calculator dex girls aol timbaland medicare delta winrar gaia massage cum cuckold suzuki naughty hqtube sprint swinglifestyle tmz literotica walmart xxx business dhl hot acdc altavista teens phun autos brazil frogsex tube asian supertangas linux numerology spyware sudoku twinks ryanair letchworth metacafe erotic plants grayvee duckyporn met-art alzheimers match pimpbus thesaurus shakira usaa fling hooters motorola efukt food lyrics macbookair jizzhut ask ign moon hotel catlist elwebbs persiankitty kayak cvs edmunds asstr penis dump clitoris gay aaa nbc al4a wachovia jeep sexape voyeurweb toysrus toys adultfriendfinder pornstars fibromyalgia clothing comcast qoutes solicitors fedex cookie subject cmt swingers you tube8 dailyniner hun fish candylist nokia health chicago china vanguard boats sports mrsa eharmony youjizz iia cnet riddles bangedup shopping alltel lexus gexo target tires soccer boysfood blowjob adultwork wifelovers airtran asredas fuck silverdaddies horoscopes msn hotels ikea porntube cameltoe dating dogging depression bored hsbc gloryhole sony domai amateur osha uggs moviemonster education hello llbean blogs blackberry tracfone tramadol smallville marriott apparel apartments autism m90 survivor abba petco programming sex nexopia bedding borders boob apple citibank proxy boylinks nasa heroes newsfilter zappos paris panasonic cunt kristen girl yahoo adobe family egotastic cic horoscop cpcu chrysler jobs maxim porn fandango women madmamas pthc homedepot cortesten egypt search breasts creampie billiards map subway mazda maps autozone anywebcam spanking web abortion gmc fchan shemales wikipedia youpron windows prescription yoga lesbians invitations minutemen inc passport fusker gals4free xxnx chase bbq recipe anywho ccleaner advertising firefox kindgirls translation dubai greyhound chandelier cancer sportbook joggs prescriptions swimsuits fox passports wal-mart ireland alaska fucking xhamster camelstyle bangbus antiques discount time imagefap nuts translator hoodia new nhra kia tattoos bbw sybian justusboys basketball hazwoper masturbation jmeeting loli ticketmaster bulldog nextel flashyourrack com gamestop bmi halloween articles wallpapers cricket from mozilla gaydar cartoonnetwork seo travelocity queen names transformers skype netzero tits goggle gigagalleries jokes bible canada cfs searchgals milfhunter topkds youramateurporn sears jetblue nifty xbox nick dachix craigslist orange booble tagged thongs napa napster sirius hustler dvd music wedding images dangerdave sunglasses snakesworld sexy porno veoh photobucket nudity ampland bdsm marketing india cialis house nero mika clipart amtrack pokemon bebo e-marketing pinkworld football ftvgirls spermshack facebook babelfish dansmovies proxies bikinis monrose pbs milfs remax shemp chiave runescape hogtied mail newspapers timberland newbienudes nena femdom qvc anime babes screensavers insurance applebees gamespot ford lost olympics posters zillow sonic kbb cliphunter spybot easygals spankwire holocaust japan cfnm mitsubishi collarme crocs nhl extremefuse compusa contact metart titanic kids alli australia shemale vonage nudism myfriendshotmom healthcare gps bikini vids naturopathic priceline spain retirement xtube directions fanfiction solotouch milkmanbook hotmail dodge aarp cheats tickets garmin shooshtime playboy key tetris mexico cats radio upskirt http genesis lottery hyundai password privacy sexyandfunny kaktuz scooters webcam seal torrent ceu booty cbs marijuana michaels teeniefiles texas flurl acne utube pictures dailymotion fucd metallica googletestad encyclopedia news resume tnaflix passwords gnc twistys lowes wiki sublime pussy drudge consumptionjunction expedia chevy milf assisass about metacrawler blinkx nubiles laptops madonna hpv books webcrawler twilightsex abc paypal bangthumbs megarotic cingular dictionary jcpenny saturn askjolene mars nickelback chatropolis rosenstolz nascar clipdump ebony netflix currys foxnews adult dmv msnbc teen video amazon lupus mcafee computer perversius wickedweasel internet policies flickr wicked herpes hobbies canon e-bay pre-foreclosures baseball ecards gap linksys hertz oprah lingerie rammstein art pool porneskimo blowjobs auction people yobt cholesterol bunnyteens eros webshots psp the hallmark computers checks photography sexstoriespost fonts squirting neopets anal cartoon quicktime crack aebn hitches photoshop pandamovies irs mature handjob bmw mtv kazaa photos fisting backgrounds asstraffic gateway ufo blboys worldsex monster wwe blockbuster ares software nudist email carmax livejasmin ufc handjobs hbo verizon ako american uselessjunk costco cartoons e-cards hairy medicine cordovox youngleafs clu penthouse life uporn ultrapasswords walgreens elvis earth gangbang amtrak priceless craiglist lead avast snopes csi puberty 3pic redtube sportsbook allhotgirls furniture subaru employment ggw sluts thehun bellsouth kmart nude needbang action36 poetry cat puppies ups calendar shingles badjojo nvidia myfreepaysite mapquest nudetube pornotube panties menards homeopathic quizzes voyeur prom lipitor foreclosures t-mobile rei enema bukkake airfare madthumbs natural usps phentermine gout pornstarbook aids youngerbabes discounts clubpenguin scooter ebay dogpile ringtones hentai corporation viagra java coffee website itunes southwest legs blog addictinggames myspace disneyland company nerc pichunter npr poems badgirlsblog nutrition cumshots avg wellness services hawaii slots auto limewire iphone akon fhm ass homeclips loans proefabonnementen plentyoffish logitech gaybeef fafsa pogo jizzonline erotica ftv chfc mcdonalds information poker thumbnailpost collectibles bushido cascada coupon forum car yahoomail grainger airlines yutuvu mahjong hairstyles craigs hermaphrodite dell ehowa america breast winzip manhunt dianapost webcamnow richardsrealm disney earthlink roses billiard mls heaven666 nudists cars pandora horses sportsbooks geico chocolate priceless420 orsm sleazydream download ipod xnxx fleshbot downblouse kijiji beatles personals recipes sexyclips webmd terrier chevrolet ter watchhervideo www traverus flash magazines plr webkins vitamins singles petsmart barbie whatboyswant hotbot microsoft bearshare secretfriends humornsex nipples 4chan divx lesbian morpheus gmail beyonce scrapbooking fsbo bangbros backpage black jewelry hsn att naked gold wallmart shufuni argos netscape assparade wikapedia ofac torrents deaths travel naturist fergie samsung suntrust thumbzilla flowers hardcore sun mp3 mamma dog bleach volcanoes horoscope rss astrology animals bankofamerica mypay electronics pregnancy cruises tattoo flights easyjet yourfilehost nfl google zune cnn rude scrubs aerisdies aim newegg video-post atk boobs chat money adaware orgasm dillards wii bankruptcies suicide drbizzaro watches switzerland thong meebo elephantlist christmas kohls fidelity models lexapro coupons yuvutu wow pornography site juno files uhaul jcpenney masterbation videos webkinz zodiac ebooks postyourgirls vidsvidsvids florida sohoadmin showmeyourwife mortgages watchersweb imdb icq espn miniclip nsfw wamu coldplay bbc wifelover 2adultflashgames pics red tea dresses diabetes toshiba candy psychic penisbot tmobile kiss aff pantyhose xvideos el-ladies bathroomsex dogs italy home vh1 tiava annuity realtor easter toyota kawasaki adam4adam tgp powerball squirt games wallpaper game