The form below must be printed, neatly filled out, and returned to our office by email or dropped off. Once we receive your form we will call you to schedule your appointment. You can email your completed form to us at doctorsnichols (at) gmail (dot) com. They must be scanned in as documents, not pictures.
Patient registration forms will be filled out in the office when you arrive.
We have new patient appointments between 10-12am and at 3pm on Tuesdays and Thursdays, depending on availability. We do not have evening new patient appointments.
We can reschedule initial exam appointments one time with 24 hours notice. No-Show appointments will not be rescheduled.