New Patient

We here understand your time is valuable and would like to give you the option of speeding up your initial visit by printing out and filling out each form that applies to your specific needs.

Every patient must fill out our “Health History Form”. This form provides Dr. Kita with great insight on your specific needs. Please take the time now to print this form, fill out each line / question as it will help Dr. Kita in determining the best plan suited for your health needs.

If you have health insurance you may also want to download and fill out this form also to expedite your initial visit with Dr. Kita.

Click here to View and Print New Patient Information form in Microsoft Office DOCx format

Click here to View and Print New Patient Information form in Adobe Acrobat PDF format

To open a PDF format, be sure your computer has Adobe Acrobat Reader installed. You can get Adobe Acrobat Reader using this link: http://get.adobe.com/reader/