01
General Information
The practice’s General Information form has not yet been provided for online access. Contact the office for the correct form and secure completion instructions.
Request the formBefore your visit
E-Forms
Find the practice’s original paperwork below. These are downloadable documents, not online submission forms. Please bring completed paperwork to your visit or ask the office for an approved secure return method. Do not email completed health forms through ordinary email.
02
New Patient
View the original New Patient Policies document from Back To Essentials. Contact the practice to confirm whether any additional intake paperwork is needed.
View New Patient PDF (opens in new tab)03
HIPPA
View the practice’s original privacy paperwork. The original document is preserved unchanged.
View HIPPA PDF (opens in new tab)Documents are provided from the practice’s original website. The office should confirm that these versions are current before you sign. General questions can be emailed to Drwages@b2essentials.com; please do not include private medical information.