patient registration & health history

Completing your patient registration and health history forms prior to arriving at our office will save you time at the examination appointment. Please print out the appropriate forms (below), fill them out, and bring the completed forms with you to our office.

Thank you.

• If you are an adult (age 18+), please use the Adult Registration (word doc) and Adult Medical History (word doc) form.

• If you are completing the form for your child, please use the Child Registration (word doc) and Child Medical (word doc) History form.