Contact & Patient Registration Forms
If you have any questions or concerns, please contact us. New patients should fill out the registration form to make a new appointment. Existing patients that would like to make an appointment, should choose the type of appointment below and fill out the appropriate patient registration form. Completing forms before your visit allows us to obtain all the necessary medical and insurance information we will need so your visit can be as streamlined as possible. You can reach our offices during regular business hours via phone call during business hours or fill out the contact form below for questions via email.
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Beginning July 1st, 2024, credit card payments will be subject to an additional 3% processing fee to cover the cost of the payment service providers to authorize and complete credit card transactions. No additional fees apply to payments made with debit cards, personal check or electronic funds transfer (EFT). RMIA does not accept cash.
