Fill out all of your patient and billing information here!
ChARM Online Scheduling & Patient Portal
Document links for New Patient Forms (skip this if on the Patient Portal):
New Patient Registration Form (Adults & Kids)
Newborn Only Health History & Intake Form
New Patient Health History & Intake Form (Adults & Kids)
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The following are additional forms for Jannae Rice ONLY:
(patients of all other providers need to fill out the paperwork above)
Download New patient forms for children. Download New patient forms for adults. Download Forms packet needed for all new patients.