Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC

If you’re unable to open PDF files, you can get Adobe Reader® for free.

schedule an appointment
Somerset
23 Commercial Dr
Somerset, KY 42501
(606) 679-8436
office hours
Mon – Wed: 8 am - 5 pm (EST)
Fri: 9 am – 3pm (EST)
columbia
650 Glenmary Dr
Columbia, KY 42728
(270) 384-2910
office hours
Thur: 9 am – 4:30 pm (CST)