If you are a Blue Cross Blue Shield (BCBS) member, you must fill out this form. If this form is not filled out, BCBS will not process any of your claims. Click the link below to download.
You will have to sign a consent to be treated. You can do this electronically when you receive a text or email reminder for your first appointment. If you cannot sign the consent electronically, then please, click the link below to download.
Whether you are transferring your care with Dr. Clark or you are going to another physician, we cannot transfer your records without a signed Records Release Form, click the link below to download.
In order to expedite your patient visit, we ask you to please download and fill out the following patient forms, and bring them to your appointment.