Patient Information

New Patients

New Patient Forms

The following forms are required for all new patients. You may complete them prior to your appointment and bring them with you or complete them at your scheduled visit.

- Patient Registration
- Patient Medical History
- Consent for Treatment
- Notice of Privacy Practices
- Notice of Privacy Practices Acknowledgement
- Protected Health Information (PHI) Authorization
- Authorization to Disclose Health Information to Goodall-Witcher Clinic in Clifton
- Authorization to Disclose Health Information to Goodall-Witcher Clinic in Whitney

Download All New Patient Forms