Please download and complete the appropriate new patient form prior to your or your child’s first appointment. Once completed, save the form and email it to us at firstname.lastname@example.org. (You will need the free Adobe Reader to use our forms.)
Completing your form now will save you time in the office and allow our staff to have your form printed out and ready to review when you or your child arrive at the first appointment.
Supplemental Informed Consent & Health Questionnaire
All patients should complete the Supplemental Health Questionnaire before every appointment.
Additionally, we request all patients complete and submit the Informed Consent Form prior to the first appointment following our re-opening date. This form only needs to be completed once.
- Supplemental Health Questionnaire (No More Than 12 Hours Before Appointment)
- Supplemental Informed Consent Form
Please complete and submit these forms using your smartphone while you wait in the parking lot prior to your scheduled appointment time. When you have submitted both forms, text the patient’s full name to 831-475-5500, and our team will provide additional instructions.
Please contact our office if you have any questions regarding these forms.