In order to expedite your initial counseling session with us, please feel free to download and fill out the following forms. When you complete them, please bring them with you to your first appointment. These forms are in Portable Document Format (PDF), so Adobe Acrobat Reader is needed to view them. If you do not already have Adobe Acrobat Reader installed, click here.

Please note that the forms you fill out are for all offices. If you see Dr. M. Rizwan Ali or Dr. Dave Wiggins in the Roanoke office, or Dr. Rhoda Hurst in the Floyd office, click the link directly below next to their names.


To download your new patient paperwork for all offices, click here.

If your appointment is with Dr. M. Rizwan Ali, click here.

If your appointment is with Dr. Dave Wiggins, click here.

If your appointment is with Dr. Rhoda Hurst, click here.


Phone: 1-877-895-8674 (Toll Free)    |    540-772-8043 (Roanoke, VA and Salem, VA)

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