Patient Forms and Lab Results

FORMS

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!

DEMOGRAPHIC FORM
HEALTH HISTORY FORM
CONSENT TO TELEHEALTH SERVICES
PARENT/GUARDIAN CONSENT FORM
ADI (Authorization to Disclose Patient Information)
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
ADI (Authorization to Disclose Patient Information)
TRANS HORMONE CARE INTAKE FORM