Patient Registration Forms
Download and complete these forms before your appointment to save time at check-in
Why Complete Forms in Advance?
Completing your patient forms before your visit helps us provide you with more efficient care. By having your information in advance, we can:
- Reduce your wait time during check-in
- Prepare for your specific health needs before your arrival
- Ensure your medical records are up-to-date
- Verify your insurance information in advance
Form Instructions
Pediatric (Under 18)
- Demographic
- Pediatric Medical
- Acknowledgment
Adult (18+)
- Demographic
- Adult Medical
- Acknowledgment
All patients should also review: Notice of Privacy Practices, Refund Policy, and Consent to Photograph.
Required Patient Forms
Demographic Form
Basic patient information and contact details
Pediatric Medical Form
Medical history for patients under 18 years of age
Adult Medical Form
Medical history for patients 18 years and older
Acknowledgment Form
Acknowledgment of receipt of privacy practices
Notice of Privacy Practices
Information about how your medical information may be used
Refund Policy
Our policy regarding refunds for services and products
Consent to Photograph
Permission to take photographs for medical documentation
Frequently Asked Questions
For adults (18+ years), please fill out the Demographic Form, Adult Medical Form, and Acknowledgment Form. For children (under 18 years), please fill out the Demographic Form, Pediatric Medical Form, and Acknowledgment Form.
Yes, you can complete the forms at our office. However, we recommend downloading and filling them out beforehand to reduce your waiting time during check-in.
We recommend completing and submitting your forms at least 48 hours before your scheduled appointment for efficient processing.
No, returning patients only need to update their information if there have been changes to their contact information, insurance, or medical history since their last visit.