Complete all forms and bring them to your first office visit. The Patient Information form may be filled out online prior to printing (this form requires Adobe Acrobat Reader version 6 or higher).
|New Patient Check List|
|Patient History (Please print out this form and fill in)|
|HIPAA Privacy Notice – Patient / Acknowledgement
(Copy and bring the last page of the acknowledgment)
|Bring Current Insurance Card|
|Bring Current Photo ID|
For a map to your appointment, please select (Map) link from our Locations page.
Refer to our providers and click the (Bio and Photo) link for your physician’s biography.
|Other Forms (New Patients: Do Not Print or Fill Out)|
|Medical Records Release Form – To CAAC|
|Medical Records Disclosure Form – From CAAC|
|Medical Questions, Medication Refills, School and Work Forms|
|Specialty Test Consent Form|
|Lung Test Patient Instructions|