New Patient Forms

New Patient Registration Form

Health History Questionnaire

I loved my results with Dr. Buckingham and his skilled staff. My procedure was easy and painless, with an easy, short recovery leaving me with a…
- 5 stars
I thoroughly enjoyed my experience with this office! Everyone was so kind, helpful and I am extremely happy with my results.
- 5 stars
It is encouraging to know there are still people who care. May God bless your life the way you have blessed J’s. Thank you.
- 5 stars