IHA is now offering a number of the most-commonly requested patient forms in an electronic version. You will find several forms below which may be completed prior to your next appointment. They may be completed by hand or electronically after saving a copy to your desktop. This will allow our patients plenty of time to complete all necessary paperwork prior to arriving at the office.
If you have any questions about which forms you should fill out, please contact your office directly.
Internal Medicine Forms |
Family Medicine Forms |
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Adult History New Patient Form* * Fill out this form if you are a new patient to Authorization for Sharing Information Authorization to Treat Minor Medicare Wellness Checkup Risk Assessment (HRA)** |
ADHD Vanderbilt Assessment Form: Parent ADHD Vanderbilt Assessment Form: Teacher Adult History New Patient Form* Asthma Control Test: Ages 4 to 11 years Financial Assistance Application Medicare Wellness Checkup Risk Assessment (HRA)** |