Fragrance policy: Since patients and staff may have health sensitivities that can be exacerbated by perfumes/colognes, we ask that all those who enter our office are free of scented personal products. Thank you for understanding.
Medical Office Visit & Procedure Fees (click to download PDF)
NEW PATIENT POLICY AND FORMS
Click on the links below to open a printable PDF document
- New Patient Policy – PDF to download, read.
- Print out and fill in and bring to your first appointment.
***NEW PATIENT FORMS***
Patient History Form
Notice of Private Practices
Acknowledgement of Receipt of Notice of Privacy Practice
Other Forms (these are for existing patients and only need to be filled out as directed).
Records Release Form FROM OC Migraine & Headache Center
Records Release Form TO OC Migraine & Headache Center
Botox Procedure, Prescription Refill and Prior Authorization Policies
Botox Procedure Policy
Prescription Refill Policy
Prior Authorization Process