Patient Forms

Dear Patient,

We would like to take this opportunity to welcome you as a new patient to our practice. Enclosed you will find the following forms:

Some of this information will be very sensitive, but necessary in order to fully care for you as our patient. Your privacy is of the utmost importance to us and we appreciate your honesty in sharing your history with us.

By completing these forms prior to your appointment this will allow our staff and Doctors to serve you in a more efficient manner. Please be here 15 minutes before your schedules appointment.

We will need your insurance card and a picture I.D. at the time of your appointment. Please also remember you are responsible for your co-pays and any deductibles due your insurance company at the time of your visit.

Please be informed that we have a Strict Policy on our Cancellations or No Show Appointments it is as follows; you must give 24 hour notice on all cancellations and or no show or there will be a fee assessed of $75.00 to your account. If you call and reschedule your missed appointment within 90 days we will drop the assessed fee to $25.00. We have a 24/7 answering system that allows you to contact us when we are not in the office. It gives us the date and time of your call, making it very accurate.

Thank you for allowing us to participate in your health care. We look forward to seeing you!


God Bless
Matthew Casavant, D.O.
Nicole Casavant, PA-C
Jacqueline Miller, PA-C