New Patient Registration

If you would like to receive care at Health Alliance Associates, please call us to schedule your first appointment. You can save yourself a few minutes by filling out our registration form and questionnaire in advance.

Consent Form

Patient Questionnaire

Our Privacy Practices

We follow industry best practices when it comes to your privacy.

Download Privacy Practices

Grievance Form

We hold ourselves to the highest quality standards. If you had a bad or confusing experience with Health Alliance Associates, we want to know about it and make it right. You can read our Grievance Policy here.

Patient Name

First Name

Last Name

Patient Date of Birth

YYYY

What is your concern?