Dr. Peckham Patient Forms
(if you are seeing Dr. Peckham for Parkinson's Disease, tremor, dystonia or other movement disorders)
(if you are seeing Dr. Peckham for something other than a movement disorder, such as memory loss, dementia or stroke)
(if you are an established patient of Dr. Peckham's, please download and fill out this form prior to your follow-up appointment)
New Patient Arrival Time: 30 minutes before your appointment time.
Follow up Patients Arrival Time: 15 minutes prior to your appointment.
Follow up Patients Arrival Time: 15 minutes prior to your appointment.