NEW PATIENT FORMS

There are four forms that we ask our new patients to complete for the registration process. 

Once the appointment date is assigned, please download and complete these forms and bring them with you, along with your picture ID, insurance card(s), and medication(s).

Note: Adobe PDF reader is required to open these files.


Patient Information Form

PATIENT_INFO_SHEET.pdf

HIPAA Release Authorization

Authorization_for_Release_of_Protected_Health_Info_AMC.pdf

Release Authorization to Family/Friends

Release_of_Health_Information_to_Family_Members.pdf

Consent Form

consent_form_for_new_patient.pdf