Please print and complete the forms below (as requested by your provider) and bring with you to your appointment.


Patient Registration Form (to be completed by all new patients)

Adult History Questionnaire

Child and Adolescent History Questionnaire

Geriatric (Senior Person) Form

Addiction Clinic New Patient Questionnaire (Dr. Elizabeth Foote)

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For questions and further information,
please call (405) 271-5251.