Hello Valued Patient,

Welcome to our practice!

Please review our website at drcindicroft.com for our practice policies and procedures.*

We are a paperless office and we ask that you complete this form. If you have any difficulty, please send us an email or a message on our website.

Once received, we will create an e-chart and contact you to schedule your first appointment.


* Annual Service Fee: There is a modest annual fee of $225/yr per adult; children are free with 2 enrolled individuals.  Payment is taken when scheduling your initial appointment.  This fee is WAIVED with all one-on-one program care packages.  
 

Thank you and we look forward to working with you.