New Patient Forms

Same-day and family appointments available!  This check-up is powerful, safe, and simple.   Expect to spend at least 30 minutes as we perform a thorough examination along with any necessary x-rays to determine how Dr. Sharla can best help you!

 

Please Choose Either Adult or Child (under 18 yrs) Intake Forms

 

ADULT INTAKE FORM

 

CHILD INTAKE FORM

Glenn W. – “Thank you, Dr. Sharla! You are all very special to me and words cannot express how much I appreciate your sweet, generous spirit, as well as your compassion and concern for our health!”

 

NOTICE OF PRIVACY PRACTICES

CCLC Notice of Privacy Practices