Patient Forms
Get your paperwork done early
Complete these before your appointment and spend your visit talking about your health instead of filling out clipboards.
Download & print
New patient consent forms — print, complete and bring them to your first visit.
New Patient Registration
Contact details, insurance information and emergency contacts.
Health History
Past medical and surgical history, allergies, medications and family history.
HIPAA Privacy Acknowledgement
Notice of privacy practices and your acknowledgement of receipt.
Authorization to Release Records
Allows us to request records from your previous provider.
Financial Policy
Payment expectations, copays and no-show policy.
Need a copy sent to you? Call (806) 481-7000 and we'll email or mail the packet, or you can arrive 15 minutes early and complete it at the office.