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Next available: Today, 10:45 am Book appointment

Patient forms

Save time at check-in: complete your forms before your first visit. Bring a photo ID and your insurance card.

Forms for new patients

  • New patient registration (PDF)
  • Medical history questionnaire (PDF)
  • Authorization to release records (PDF)
  • Financial policy and consent (PDF)

For parents

  • Pediatric registration (PDF)
  • School and sports physical form (PDF)
  • Vaccine record request (PDF)

Prefer to fill them in at the clinic? Please arrive 15 minutes early. Questions about a form? Call (512) 555-0150.

Please do not email completed forms with medical information. Bring them to your visit or upload them in your patient portal.