Welcome to my practice. Below are some forms for you to fill out

before your appointment. To help me gain a complete picture of your

past and present health concerns, please include as much information as

you can. I think you will find the process of completing the

questionnaires useful and it may stimulate questions that can be

addressed at the time of your visit.

Be sure to bring the forms with you to your appointment along with any

other medical records or reports that may be useful. If we will need to

obtain records from another health care provider for you, please bring

their contact information with you including phone, address, and fax

numbers. Also, be sure to bring any medications and or supplements that

you may be taking. When you come to the office we will have you sign a HIPAA form. If you would

like to read the full  health information privacy policy before you come click here: HIPAA

Directions to our office are on the direction page of this site

I do my best to be sure you are well taken care of, so please feel free to

call if you need help. I look forward to seeing you on the day of your



Elizabeth G. Motyka, MD

Click on the link below to obtain

Forms to bring

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