Patient Registration
Paper PATIENT REGISTRATION – All Offices
We do give you the option to print out this form in a PDF format to fill out and bring with you at the time of your appointment. Please note, by not submitting your information electronically below, you will now need to come in 30 minutes earlier to your appointment so we can properly register you for your appointment.
ONLINE Patient Registration – Madison Office Only 44 Hughes Road, Suite 1500
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
ONLINE Patient Registration – Huntsville Office Only – 910 Adams Street, suite 215
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.