Patient Forms/Parking

If you are a new patient to our office, the links below provide forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms

Please print, complete, and bring the first 3 forms to your first appointment.  The "Hipaa Notice" is for your review/records.  Thank you, Dr. Gross and Staff.

New Patient Information.pdf 

Office Policies.pdf

Acknowledge Receipt of Hipaa Notice.pdf

Hipaa Notice.pdf



We validate parking at any SmartPark Location.  The map link below will take you to a web page that indicates where all SmartPark buildings are located.  Our building takes up the entire city block of SW 1st/2nd, Main/Salmon.  The closest SmartPark structure is only 2 blocks south of our building between SW 1st/2nd, Madison/Jefferson.  Map Link

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.