Patient Forms
If your a new patient coming into our office you will need to fill out a New Patient Form. To save time you can print out the form below and have it filled out before you come for your first appointment.
New Patient Form
HIPAA Privacy Act
We have been using Gwen Cugine and have been very pleased with her. She is very practical and doesn't recommend something if she does not believe it is warranted. We are usually in and out quickly. Good Luck! Mom22
We are in the midst of treatment at Gwen Cugine's and we like her very much! A very upbeat, friendly staff and although sometimes it is a bit crowded- I blame it on the small office and nothing else. You are in and out pretty quickly! Jules2
We had the same experience with Dr Cugine. Professional, good value, no "surprises" 2 years later. Barry