If you are a new patient, please complete the following forms: New Patient Form, Office Policy Form, Telemedicine Authorization Form and HIPAA Medical Privacy Notice. Each of these forms can be completed and signed electronically using Adobe. No later than two (2) days before your appointment please email the fully completed and signed forms to drkja@outlook.com. In addition, please provide the email address you would like Dr. Andersen to use to provide communications concerning your appointments and the instructions for telemedicine appointments.
To download Adobe Acrobat reader for free, click here.