Your Partner in Life

Welcome

Dr. Teresa M. Walters,

New Client Form.

Thank you for scheduling your appointment. Please complete the new client form below. 

Because the form is now managed through DocuSign, you no longer need to submit it by email. It will automatically be submitted upon completion. 

New Client Form

 

Welcome to a much easier way to submit your New Client Form. 

Now services are provided by DocuSign. 

One form, one link. Sign once, and it’s automatically submitted for you. 

Credit Card Authorization Form

Generally, new clients provide their credit card information when they schedule their first appointment through the Full Slate portal. Clients who schedule through the office may need a secure method for submitting their payment information. Clients can use this form to securely submit their payment information via DocuSign.

To access the form, click HERE