New Patients

Once you have scheduled an appointment with us, please download and print this form. Fill it out and bring it with you to your appointment. Dr. Ashburn will meet with you to discuss any symptoms you might be having and take x-rays, if needed.

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using this product.