Patient Paperwork

For your convenience, you may download any of our standard patient forms using the links below. Please contact us if you have any questions!

IF YOU ARE A NEW PATIENT LOOKING FOR REGISTRATION FORMS, YOU CAN NOW COMPLETE AND SUBMIT ONLINE. CLICK HERE.

Notice of Privacy Practices

New Patient Paperwork

Dr. Bigart New Patient Paperwork– New patients seeing Dr. Bigart, please fill out these forms instead of the general forms.

Dr. MacGillis New Patient Paperwork– New patients seeing Dr. MacGillis, please fill out these forms instead of the general forms.

Dr. Mekhail/Jim Hanna New Patient Paperwork– New patients seeing Dr. Mekhail or Jim Hanna, NP-C, please fill out these forms instead of the general forms.

Dr. Sampat New Patient Paperwork– New patients seeing Dr. Sampat, please fill out these forms instead of the general forms.

Dr. Bonaminio Patient History Update– All patients seeing Dr. Bonaminio must fill out this history update at every visit.

Informed Consent for Telemedicine Services