Patient Forms
Complete your forms online before your appointment to save time
Before You Begin
- • Allow 20-30 minutes to complete the new patient forms
- • Have your insurance cards and medication list ready
- • Your information is securely encrypted and HIPAA compliant
- • Forms can be saved and completed later if needed
Available Forms
New Patient Intake Form
Complete medical history and patient information
This comprehensive form collects your medical history, current medications, insurance information, and other essential details needed for your first visit.
Includes:
- • Personal & contact information
- • Insurance details
- • Medical history
- • Current medications
- • Allergy information
- • Sleep assessment
- • Consent forms
Estimated time: 25-30 minutes
Medical Records Release
Authorize release of your medical records
Use this form to request your medical records or authorize us to release your records to another healthcare provider.
Use this form to:
- • Request copies of your records
- • Send records to another doctor
- • Share records with family members
- • Insurance or legal purposes
Estimated time: 5-10 minutes
Patient Questionnaire
Brief pre-visit questionnaire
A shorter form for existing patients or those who have already completed the full intake form.
Includes:
- • Reason for visit
- • Current symptoms
- • Recent changes in health
- • Updated medication list
Estimated time: 10-15 minutes
Need Help?
Technical Issues
If you're experiencing problems with the online forms, you can download and print them instead.
Questions?
Our staff can help you complete the forms or answer any questions you may have.
Frequently Asked Questions
Q: Can I save my progress and come back later?
A: Yes, your progress is automatically saved in your browser. You can close the form and return to complete it later.
Q: How secure is my information?
A: All data is encrypted and transmitted securely. We are fully HIPAA compliant and take your privacy seriously.
Q: What if I don't have all the information requested?
A: Fill out as much as you can. You can bring any missing information to your appointment.
Not a Patient Yet?
Call our office to schedule your first appointment. New patients are always welcome!