Dr. Naveen Kella Fax: 888.316.9464
Dr. Timothy Hlavinka Fax: 844.355.4954
Please complete our secure online forms. You will still need to bring your identification and insurance card with you to every appointment. If you choose to complete your paperwork at the time of your appointment, please note that this often increases your wait time as we have to enter all of your information into our electronic medical record and then confirm insurance benefits with your insurance company so that we can give you accurate estimates of your cost for care.
Instructions: Upon opening, the form will ask for your email and name. You will then receive an automated email with your secure password. After checking your email, return to the page and enter your password. Once submitted, your completed documentation is sent in a HIPAA compliant fashion.