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New Patient Paperwork

FORM 1

New Client Information

General patient information including medical history, medications, insurance information, etc. 

FORM 2

Patient Treatment
Agreement

Consent to treat including billing & practice policies, fees & payments, and confidentiality.

FORM 3

Payment Authorization

We require that a form of payment is kept on file to cover visit expenses not

covered by insurance.

Tips for filling out your forms

1

Click on the arrows above to open an editable PDF form. Fill in all the spaces to the best of your ability and make sure to sign any areas with initials or signatures! 

2

Download the documents to your computer or your phone with the changes you've made.

3

Download the Spruce app to your phone or log in from your computer using our practice link here. You'll then send the documents through the secure Spruce Messenger to our office or fax it to us at (816)-264-692.