Patient Forms

Child Consent for Treatment

Covid 19 Vaccine Consent Form

All new patients under 17 years of age will need to bring this form in filled out to their first appointment.

Pediatric Medical History Form

For more information about DOT Physicals visit our DOT Physicals page.

DOT Physical Form

Geriatric Consult Flyer

Notice of Privacy Practice

All new patients 18 years of age and older will need to bring this form in filled out to their first appointment.

Adult Medical History Form

2016 Financial Policy

Records Release Form

Hinkin's Blood Pressure Log

Hinkin's Blood Sugar Log

Anytime you are out of refills, please call your pharmacy to speak to the pharmacist (not the automated pharmacy phone line) and tell him/her that you are out of refills. The pharmacist will then contact your physician via fax or email with your refill request.

View our Prescription Refill Policy

Portal and Healow App

Colonoscopy-Instructions