Update History Form
We are glad you have chosen to return to our office. Because we are committed to your care, it is important that we keep an accurate account of your current medical history/conditions. The attached form is a shortened version of the initial forms you filled out (which we update yearly). Please fill out our secure online Update History Form. After you have completed the form, make sure to press the Submit button at the bottom to automatically send us your information. We will have your completed form available for your signature upon your arrival to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Please note: patients under the age of 18 years of age must be accompanied by a parent or legal guardian at their appointment.