Returning Patients Hilltop Drive May 23, 2011 | No Comments ATTENTION PLEASE: YOU CANNOT SIGN IN ONLINE BEFORE 8AM OR AFTER 5PM WEEKDAYS, OR BEFORE 9AM OR AFTER 4 PM ON WEEKENDS! First Name Last Name Birth Date Phone Number Reason for Visit Has your address changed since last visit? Yes No If a balance is owed at either clinic, you will be notified when you arrive and will be expected to pay before you are seen. Deductibles and co-pays are due at time of treatment. Please follow and like us: Categories: Registration Forms
