As a convenience to our patients, to save your valuable time at your initial examination appointment, we have made our common registration forms available on our website for completing at your leisure before your appointment.
These are fillable forms, so you can fill them out and digitally sign them, then print or email to firstname.lastname@example.org. You may also just print out a blank copy and fill out by hand to bring to your appointment
Please Click on the link for the form you wish to fill out and/or print.
- Adult Exam Form/Health History
- Under 18 Exam Form/Health History
- Statement of Privacy Practices
- Formulario de Historia de Salud- Niño
- Reconocimiento de Recibo del Aviso de Declaración de Prácticas de Privacidad
- COVID Screening and Consent Forms (not Fillable)
If you're unable to open PDF files, you can get Adobe Reader® for free.