Printable First Visit Forms

Please download and fill out the forms before your first visit. Please contact us if you have any questions, thank you!


Dr. Putney can accept most private insurance. Please check with your insurance provider before scheduling an appointment to determine if Dr. Putney is a preferred provider in your network. 


Unfortunately, Medicare and any supplemental insurance for Medicare does not cover any services provided by Dr. Putney. Currently, Dr. Maria Putney is not a provider for Medicaid, CHPW, or Molina