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Medical form with stethoscope

NEW PATIENT FORMS

For all new patients

Prior to your appointment, please fill out the Patient Registration Form, HIPAA Consent Form & Medical History Form.
You may download the forms below, fill them out at home and bring them to your appointment. Or you can come a few minutes early to your appointment and complete the forms in our office. Don't forget to bring your insurance card (if applicable) and valid ID such as driver's license.

New Patient Forms: Files

REGISTRATION FORM

TELEMED CONSENT FORM

MEDICAL HISTORY FORM

AUTHORIZATION TO RELEASE PERSONAL HEALTH INFORMATION FORM

SURVEYS

Please complete the surveys that are relevant to your problem. They will help Dr. Tran use evidence-based treatment to customize your recommendations.

WHICH SURVEYS DO I NEED TO COMPLETE?

[See chart below & click to download]

Image by David Pennington
New Patient Forms: Files
New Patient Forms: HTML Embed
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