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Patient Forms

New patients are encouraged to complete the following top two forms prior to their first appointment. In an effort to save you time, print off and complete these three forms prior to your first appointment. Present these to the registration clerk at the time of check in. All forms, if not completed online, must be completed in ink. All forms will be kept confidential, unless permission is granted to share information with relevant parties.

Other Health Services forms:

Wisconsin residents: Access your public WI immunization records. You will need to input some personal information (First and Last Name, Date of Birth, Social Security Number) and then you can print your records.

Forms for the patient to review regarding privacy of health information: