INSTRUCTIONS

• Please complete your forms in advance whenever possible. If you can, drop them by our office in advance or mail them. Otherwise please provide them upon arrival for your visit so your provider can review them.

• Downloading the Forms

  • Click on the forms below that apply to your upcoming visit and you will be prompted to download a file.

  • If it is a zip folder, you’ll need to unzip the file to access the documents inside. Detailed instructions can be found here: for Windows and for Mac

• Completing the Forms

  • You have the option to print off your forms first and handwrite your answers OR fill out the forms on your computer using Adobe acrobat prior to printing.

  • Instructions for filling out PDF documents on your computer:

    • Make sure you have a recent version of adobe acrobat on your computer. Available here: https://get.adobe.com/reader/

    • Download and open the forms that apply to your visit in Adobe Acrobat.

    • Use the Fill & Sign Tool to complete the form. Save your work often. Detailed instructions on using the Fill & Sign Tool are here: https://helpx.adobe.com/acrobat/using/fill-and-sign.html#fill_your_PDF_form

FORMS

New Patients

New Patient Packet - Adult

New Patient Packet - Infant, Child, Teen

Adult Wellness Exams/Physicals

Medicare Wellness Exam - Female (Age 65 and over)

Medicare Wellness Exam - Male (Age 65 and over)

Male Wellness Exams/Physicals (Age 18-64)

Female Wellness Exams/Physicals (Age18-64)

Well Child Visits

3-5 Day Old Visit

2 Week Visit

2 Month Visit

4 Month Visit

6 Month Visit

9 Month Visit

12 Month Visit

15 Month Visit

18 Month Visit

2 Year Visit

2.5 Year Visit