65 Sockanosset Cross Road, Suite 301, Cranston, RI 02920 | Contact Us  

Forms and Policies

New patients please complete all of the following forms. 


Download New Patient Form

Download Record Release

Download HIPAA

Download Waiver of Liabilty


Office Policies

Full payment of your co-pay or deductible is expected at the time of your appointment.  Payment of your co-pay at the time of your visit is an obligation you have with your insurance company.  It also helps us to continue to provide the excellent medical care you expect from us.  We accept cash, check or credit card. 

If you are unable to pay your bill at the time of the visit, please speak to the front desk staff to arrange an alternative payment plan.


Please bring any form that requires a physicians signature to your office visit.  This includes forms for school, sports clearance, vaccine verification, work forms, and many others.  Forms brought to us outside of an office visit may take some time to complete and be subject to a fee.


We have an automated call system that contacts you by phone to remind you of your upcoming appointment.  We understand that emergencies and other situations may arise that necessitate cancelling and/or rescheduling your appointment.  If you need to change an appointment please contact our office at least 24 hours in advance so we can use your appointment for someone else who needs it.  Repeated failure to do so may result in a No Show fee of $30.00.