Dear Client

Take time to complete and download the forms below for our new patient questionnaire.

  1. Download Patient’s Health Questionnaire Form
  2. Download XRAY Consent Form
  3. Download HIPAA-Consent Form

The questionnaire may be completed on your computer allowing easy return through email and no use of paper. Please be sure to bring a copy of your insurance card and your photo ID with you. Submitting these forms in advance will assist Dr. Shirazi in evaluating your specific needs prior to your appointment as well as ensure that your scheduled appointment is processed in a timely manner. This also allows us to remain on schedule for all patients.