New patient forms
Fill these out before your first visit and you'll be in and out faster. You can also fill them out in the office - just arrive 10 minutes early. Bring your insurance card, a photo ID and a list of any medications.
Demo only: in a real clinic these link to their own secure intake forms. Nothing here is sent anywhere.
- 1. Patient informationContact details, insurance, emergency contact - about 3 minutesStart
- 2. Health historyFilled out with the doctor at your first visitIn office
- 3. Consent and office policiesConsent to care, 24-hour cancellation policy, texting consentSigned at check-in
- Red light therapy intakeOnly if you're booking red light therapyIn office