New Patients

Medical History Form

Once you have a confirmed appointment with Dr. Geller, please complete the Medical History Form at least 48 hours prior to your visit. Please do not fill out this form if you do not have an appointment.

Medical Records & chart photo


Please note that Dr. Geller is not a provider for any insurance plans or Medicare. Payment is due at the time of service. No personal checks please.

office POLICies

Please read and sign our Office Policies prior to your appointment.