Welcome to our practice.  Our staff is committed to providing friendly and convenient service to all of our patients. We strive to make every patient feel comfortable and well taken care of.  For your convenience we have enclosed a list of directions to help you find us. Please feel free to contact us at any time if you have questions.

Notice: Due to our specialty and unforeseen circumstances, your appointment time could be delayed. This could result in a prolonged waiting time. Our office will call to reschedule appointments when this waiting time could be excessive. Please also be aware that appointments may need to be completely rescheduled in Emergency situations. We strongly recommended you check your answering machine, home phone, cell phones, etc., prior to your visit to make sure our office has not left you a message.  If timing is very important to the planning of the rest of your day, we ask that you call prior to your appointment.

Please make sure your personal schedule will allow enough time for your scheduled appointment, with or without a waiting period.

Below you will find patient information forms. They are in PDF format. If you need the free reader click here. PLEASE FILL THESE OUT PRIOR TO YOUR APPOINTMENT , and bring them with you at the time of your visit. Please bring your insurance card to the visit as well.

Again, thank you for choosing our practice and we hope to establish a continual relationship.

Sincerely,
Dr. Cole, Dr. Leach, Hope and staff

72 hour notice for cancellation required. 
A $25 cancellation fee will be billed to patients who do not cancel within 72 hours.

Patient History (pdf 144k)

Obstetrical History Questionnaire (pdf 38k)

HIPPA Privacy Rule Receipt of Notice (pdf 62k)

Hippa Privacy Rule of Patient Authorization (pdf 100k)

Financial Policy 2008-2009 (pdf 48K)

Patient Registration (pdf 30K)

Patient Portal Registration Form (pdf 335k)

Patient Portal Policy and Procedures (pdf 465k)

Release of Records TO Dr. Leach (pdf 52k)

Release of Records FROM Dr. Leach (pdf 38k)

EDD Claim for Disability Insurance Benefits (pdf 1.2m)