New Patient Forms

DIRECTIONS:  Click on the form link below, and allow it to load on your screen.  Once loaded, you can fill out the form on your screen and tab between information spaces.  When you are finished, just print the form and all the information you entered will appear on the form, saving you from having to fill it out by hand.  Then just bring ALL the forms with you.  (Completing the forms and bringing them with you, should save 15-20 minutes of waiting time at the office)

Adults:

Fill out forms 1-4.

Children:

(under 18yrs old) Fill out all 5 forms.

Forms:

1. Personal Data Form

2. Hippa

3. Patient Health Questionaire

4. Informed Consent

5. Consent – Minor Child