To expedite your visit, you may download and complete the following form(s) prior to your appointment. If you have any questions, please contact us.

• Acknowledgement of Receipt of HIPAA Notice of Privacy Practices - ( PDF)
• Dr. Dillard Procedures/Lab Tests/Refills - ( PDF)
• Financial Policy - ( PDF)



• Health History - ( PDF)
• Notice of Privacy Practices - ( PDF)
• Patient Information - ( PDF)
• Procedures/Lab Tests/Refills - ( PDF)