New Patient Visit

Please click on ALL REQUIRED forms below and your age appropriate health questionnaire.  If you have questions you may send an email to drway@myupdox.com.


New Patient Registration (REQUIRED)

New Patient Health Questionnaire (Adults)

Pediatric (Under 21 y/o) Health Questionnaires (Children)

Payment Policy Acknowledgment (REQUIRED)

Review our Privacy Practices (REQUIRED)

Medical Records Request Form - print and complete this then send to your previous provider(s) to request your records.