For our back patients...

Please fill out this form and either e-mail or print them out and bring them to your intial visit if you are a new patient to Dr. Stark's practice.

Please download, print, sign, and date this HIPAA Form for your intial visit.

Please download and fill out these forms if you are a returning patient
to Dr. Stark's practice.





Home | Appointments | Prescription | Hospitals | Insurances | Privacy Policy | Financial Policy | Forms | Contact Us | FAQ
Copyright 2005 Dr. John G. Stark, All Rights Reserved.