Patient Forms and Lab Results

We have made our forms available online. When you make your appointment, the staff member will let you know which form(s) are needed. Our online forms are secure and HIPAA-compliant.

If possible, please fill out any needed forms before the scheduled time of your visit!

New patient/yearly forms

These forms are required for new patients and must be updated annually for established patients

Demographic Form
Health History Form

other forms

Please fill out the forms that are applicable to your appointment.

Teleheath Services
- Telehealth Consent Form
First Hormone Appointments for patients 18+ years old
- Trans Hormone Care Intake Form
Consent Forms
- Parental/Guardian Consent Form
Continuation or Transfer of Care
- ROI (Release of Information)

Lab results

Need to see your lab results?
Log into your patient portal.

If you are unable to fill out your form/s online prior to an in-person visit, you may use the PDF forms below:

Health History Form
Parent/Guardian Consent Form
ROI (Release of Information)
Demographic Form
Trans Hormone Care Intake Form