Printable Forms

New Patient Packet

Below is a comprehensive list of printable forms you may need at Our Family Doctors

As a time-saving convenience please complete these forms and bring to your first appoitment.

 

Patient Information Form
 
Financial Agreement
 
Prescription Medication Policy
 
Medical History
 
Authorization to Disclose, Release, or Obtain Medical Records
 
Notice of Privacy Practices
No Show Policy

 

 

Health & Wellness

Health Tracking Forms for your personal use.

You can also bring these forms to each of your appointments and have a staff member help you fill them out with your latest records.

 

Medication List

PDF-Printable/Disposable Sheet

 

Blood Sugar Log

PDF-Printable/Disposable Sheet

 

Tracking Your Journey to Wellness

Click to print page and track your wellness

Health Resource Sites

A wealth of free, updated information is available from goverment agencies and nonprofit organizations. Here are some leading resources.

Other Health Related Resources

Alzheimer’s Association

www.alz.org

American Association of Retirement Persons (AARP)

www.AARP.org

American Cancer Society

www.cancer.org

American Diabetes Association www.diabetes.org

American Heart Association www.heart.org

American Parkinson’s Disease Association

www.apdaparkinson.org

American Red Cross

www.redcross.org

Arthritis Foundation

www.arthritis.org

Better Hearing Institute www.betterhearing.org

Medicare

www.medicare.gov

National Institute on Aging www.nia.nih.gov

Mental Health America

www.nmha.org

National Osteoporosis Foundation www.nof.org

 

 

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