Patient Forms

Please take a minute to print and thoroughly fill out the patient information form before your first appointment:

  • Online Health Form Click here
  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Appointment Confirmation Communication Request Form PDF
  • Informed Consent to Treatment Form PDF
  • Consent to Disclose Health Information Form PDF
  • Financial Acknowledgement Form PDF

COVID-19 AAOIC Health Questionnaire & Consent Form

All patients will be required to print, download and complete the form below and bring it to their appointment, every time they have a scheduled appointment. These additional measures will help to keep patients, their families, and our practice team healthy and safe. If you have any questions regarding these forms, please contact us.

  • AAOIC Supplement Health Questionnaire & Consent Form PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.