Priscilla E. Sierk, D.O., P.A.

New Patients

Important Notices

We are currently at capacity and accepting only a very limited number of new patients to ensure availability for our existing patients. We are unable to respond to all requests.

All initial appointments must be in-office, with limited exceptions.

New Patient Forms

All forms are hosted on HIPAA-compliant systems:

  • New Patient Appointment Request

    Request a new patient appointment. You will be asked to acknowledge practice policies before submitting.

  • New Patient Intake Forms

    Once your appointment is scheduled, intake forms will be sent to you via our patient portal.

  • Benefits Check (PDF)

    Use this worksheet to verify your insurance coverage and ensure all your questions are answered before your first visit.

  • Release of Information

    Authorization form for sharing patient information with other providers.

Office Policies

Please review our policies before your first appointment: