Downloadable Forms
Important!
You will need Acrobat Reader in order to print or type in any of our forms. The program is free and readily available on most computers. If, however, your computer doesn't have Acrobat Reader, you can click on the icon to the right to download and install it on your computer.
** You must fill this out if you are under 18 **
Patient's Medical History Form
This form is two pages long.
Patient's Rights and
Responsibilities: Notice of Privacy Practices
Please read this notice and keep it in your records.
Acknowledgement of Receipt of
Patient's Rights and Responsibilities
Print and sign to show that you have recieved the previous document on your Patient's Rights and responsibilities.
Filling Out the Forms
The forms can be filled out on a computer or they can be printed and filled out by hand. When using a computer, you can use a mouse to click in each field and type in your information. You can also use the [Tab] button to take you to the next form field quickly and easily.
Notice that you cannot fill in the signature area. Any document that requires a signature will have to be printed to be signed.
Printing
You can print by going to File >> Print in your Acrobat Reader.
If you fill the forms in using a computer, you will not be able to save them with your information on them. You must print them after you have filled them in.