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

New Patients

Important Notices

We are currently full and not accepting new patients to ensure availability for existing patients. New patient requests will open in March. 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: