Click HERE to view this page in Spanish
 




       

New Patient Registration Form



ENTACC is always happily accepting new patients.


When you come in for your first visit, you will need to complete forms regarding your medical history and insurance information. You can save time by downloading these forms now and completing them at home.


> Click HERE to access the forms in Spanish


Established (Returning) Patients



*Update Your Information*


If you have not been seen within the last year,
or if you have changed or added new insurance or demographic information, please complete these forms prior to your appointment.




When you come in for your visit, don't forget to bring the following:




               • Your completed forms
               • Your insurance card
               • Referral form if necessary