New Patient Forms

We aim for professionalism, excellence and compassion in health care. We also want our patients to be as well-informed as possible. If you have any questions about any of the information on this website, please never hesitate to contact us or the doctor directly.

Click on the links below to download the forms if you would like to fill them out in advance of your visit to save time. If you have any questions about which forms you should complete, or anything on the forms themselves, please call our office.

 Patient Registration Form (2 Pages)

 Medical Information Form for Women (6 Pages)

 Medical Information Form for Men (6 Pages)

 HIPAA Privacy Notice Form (3 Pages)

 Access Endocrine Clinic Information (5 Pages)

Why all the questions?

The medical receptionist will ask you to fill out an information form and may ask you some basic questions. This may seem to you an invasion of privacy, but such information is a necessary part of the examination so that the doctor can, at a glance, obtain essential data about you. Your address and phone are needed in case the doctor writes a prescription for you. Information regarding your occupation, age, etc. is likewise important as it has a bearing on your health and physical status. Additionally, the information is helpful to use in filing your insurance claims. All items on the forms are necessary and all information given to us is confidential.