To help get you started on your path to recovery, please print and fill out the following registration forms. These forms are in Adobe PDF format. You can get a free copy of Adobe Acrobat Reader here. Please be sure to bring all forms completed with you to your first appointment.
- Patient Intake Form
- Medical History and Medications
- Consent to Treat and Patient Financial Responsibility
- Receipt of Privacy Practices
If instructed by the office, please print out the relevant form:
Your First Visit Checklist
Please bring the following materials with you for your first visit:
- Registration Forms, above
- Insurance Card
- Drivers License or Picture ID
For more information, Contact Us at your nearest Carlson ProCare Location.