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Thank you for choosing Symtrio for your care. We offer our new patient patient form online so it can be completed in the convenience of your own home or office. To complete, click on the link below and fill in the required information. Once completed, the form will automatically upload into our software. 

Please bring your identification, insurance card, and method of payment with you to your appointment. Once you arrive you will be asked to sign a Consent To Treatment and a HIPAA privacy policy form. 

If you are unable to complete the form in advance we just ask that you arrive 10-15 minutes prior to your scheduled appointment time. We look forward to meeting you!


New Patient Intake Form


PLEASE NOTE: The signature portion of the form may not load properly unless using windows 7 or above from a desktop or laptop computer (phones and tablets may not work).

To sign, double click the signature box and draw with your pointer.