Resources

Patient Education

We Help You Breathe
PATIENT FORMS

Please fill out the forms below and either bring or fax them into our office. If you are a new patient, please print “New Patient Forms" and have the forms filled out for your visit. If you would prefer, we will gladly send you the forms. Please call or e-mail our office.

If this is a return visit, please print and fill out the “Return Visit – Checklist,” as well as the “Information Update.”

Our Privacy Notice is below for your convenience.
Instructions

You must have Adobe acrobat to open these forms. If you do not have Adobe Acrobat, click here for a free version. You can save the forms by either right clicking on the form and selecting “Save link as” or by saving it once it is opened within Adobe. Once the form is displayed, click on the print icon.

Your First Visit Brochure Click on the link to the left to download or open a data sheet giving general information concerning your visit, a map to the practice, and insurance information.

New Patient Forms Click on the link to the left to download or open this form which we request to be filled out prior to coming in for a new-patient visit.

Return Visit Checklist Click on the link to the left to download or open this form if you are coming for a regular checkup.

Information Update Click on the link to the left to download or open this form to complete if you haven't been in for 6 months.Records

Release Form Click on the link to the left to download or open this form to complete if you need your records. Please fax or bring the completed and signed form into our office.

Privacy Policy Click on the link to the left to download or open our privacy policy.

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