Dr. Charles E. Gutierrez, Ph.D.
For your convenience, we have attached all the new patient forms.
Please complete these forms prior to your visit, to help reduce your wait time.
We have provided a couple of ways for you to complete these forms:
1) Print a blank form to complete by hand and bring to your appointment.
2) Complete online, print a copy and bring to your appointment.
Forms
Patients who complete their paperwork first,
will be seen first.