New Patient Form

Once we schedule a first appointment, please fill out this form and email it to me at least 24 hours before our visit.  You are welcome to bring a paper form on the day of our visit, but I will then need 10-15 minutes during our visit to review.  By emailing it to me beforehand, we can use all of our scheduled time focused on you, your story, and your treatment.  My email is secure, encrypted, and HIPAA compliant:


In order to fill out and save the above PDF, you'll need the latest Acrobat Reader.  You can download Acrobat for free here:

700 Garden View Court

Suite 201-C

Encinitas, CA 92024

Shawn Barnes M.D.

Tel: 760-487-8344

Fax: 307-242-1069