There are two options for completing your new patient paperwork:

  1. You can fill out the new patient paperwork through our online form below. Please make sure you click to sign when finished. Please use a desktop, laptop or tablet to complete.
  2. You can click here to download the printable PDF to print out the paperwork. You can scan and send to bnhsnewpatients@Gmail.com.

Please fill this paperwork out completely. If the paperwork is not completely filled out when you come in at the time of your appointment you will have to reschedule. Thank you for your understanding and cooperation.

Please be on time for your scheduled appointment.


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