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Upload a Document

Do you have a form for camp, sports, school, scouts or any other activity, that needs to be signed by your doctor?  

 

If you have a digital file, you can upload directly to us by filling out the form below and then dragging and dropping the file in the box below.

 

If you have a paper copy of the form, and would prefer not to drive over to the office to drop it off, you scan scan into a PDF on your computer iand then fill out the form below and drag and drop the PDF file in to the box below.

 

Don't have a scanner? You can use an app like Scanner Pro for iphone or Cam Scanner for Android 

to scan your document and create a PDF file.

 

Remember to click submit!

Form and File Upload

Patient's name:*

DOB:
Month
Day
Year
What is your primary office location?
What should we do with the form when it is completed?

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