Medical History Forms

  • After we schedule your appointment, you will need to fill out the Adult or Child Medical History Form and submit it, together with a recent photo of the patient, to your doctor. Please follow these steps.

 

 

    •  2. Fill out the form, make sure you attach a recent photograph of the patient. Note: Your typed name will serve as your signature.

 

  • Most of the information needed will be gathered during your first appointment, so you don’t need to provide extensive information in the forms, nor send any medical or school records nor lab results, unless we request them.