New patient Forms


Please Note: We charge for any appointments not cancelled or no-show within 24 hours. New Patient Charge $150.00 and Established Patient Charge $75.00 We pride ourselves on the efficiency of our office staff to have you see the Dr. or Nurse Practitioner in a timely manner.

Millennium Park Medical Associates New Patient Packet:

Attached is the New Patient Paperwork which you can fill out prior to your visit to make your check in process easier.

Feel free to bring them to your first appointment or fax them into our office prior to your appointment.

Please remember to bring your insurance card and photo ID to your visit

We do require all patient’s to put a credit/debit card on file as part of our “credit card policy” We guardsmen your information is secure. Please see below for the policy statement.

Millennium Park Medical Associates