To become a patient of our practice, please complete the New Patient Registration Form.
Once your registration is received, our patient engagement team will reach out within two business days to help schedule your first appointment.
Please note that we are not able to schedule an appointment until the registration form has been completed. Omitting any required information may delay the scheduling process.
If your insurance plan requires a referral to be seen by a specialist, that referral must be obtained and received by our office before we are able to schedule your first appointment.
Prescription Refill Request
Prescription refills are sent through the Patient Portal or by requesting a refill from your preferred pharmacy. If your medication is not listed please send a message to the office via the portal with the medication details and the pharmacy of choice. Please note our office no longer sends prescriptions to ASPN.
We do not process prescription requests over the phone or via text. If you have not had a visit with a provider within the last year one may be needed to refill medications on your behalf. Please allow 3 business days for refill requests.
Please complete the following form to request a refill - SLIT REORDER . Our team will review this request and reach out with any questions. If there are no questions you will receive a text prompt to complete payment for your reorder. If you need your item(s) shipped there is a flat fee of $100.00 for shipping. We only utilize FedEx overnight for shipping as items are temperature sensitive.
School Form Requests
All school form requests must include our completed School Form. This form must be fully completed and emailed to:
aaiforms@gmail.com
Please include all required documents at the time of submission, including:
All forms must be submitted in PDF format. We are not able to process or complete forms submitted in other formats, and we are not able to download forms provided through a link.
Once a complete request is received, our office will review the documentation and send an electronic invoice for the associated fee. Form processing begins once payment has been received.
Please note: If the patient has not had a visit with their Physician or PA within the last year, an appointment will be required before forms can be completed (challenges, day ones and updose visits are procedures and are not considered a visit with a provider).
FMLA, Disability Forms, and Letters
FMLA paperwork, disability documents, and other letter requests should also be emailed to:
aaiforms@gmail.com
Our office will review the request, send an electronic invoice, and complete the documentation once payment has been received.