Online Forms

At Dr. Greg Wacasey, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Information Form

Download & Print Form

Financial Information Form

Download & Print Form

Acknowledgement of HIPPA and Cancellation Policy

Download & Print Form

AOA | Notice of Privacy Practices Form

Download & Print Form


Download the Free AdobeReaderĀ®

Location

Hours of Operation

Monday

9:00 am - 5:00 pm

Tuesday

8:00 am - 4:00 pm

Wednesday

9:00 am - 5:00 pm

Thursday

8:00 am - 4:00 pm

Friday

8:00 am - 2:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:00 am - 5:00 pm
Tuesday
8:00 am - 4:00 pm
Wednesday
9:00 am - 5:00 pm
Thursday
8:00 am - 4:00 pm
Friday
8:00 am - 2:00 pm
Saturday
Closed
Sunday
Closed