Patient Demographic Form This form provides us with your basic demographic information and emergency contacts. Click Here for PDF Insurance Form  This form provides provides the office your insurance information. Click Here for PDF HIPAA Release Form Informational release forms permitting discussion with other professionals and your family. Click Here for PDF    Complaint-Appointment             Appointment  CCComplaintComplaintsC omplaint This form reviews the reason for the appointment and patient complaints, duration of symptoms and causes for concern Click Here for PDF Medical History Medical History Form This form provides the office with your important medical history Click Here for PDF These Intake Forms may be mailed / faxed/ or emailed to the office prior to your visit. This will decrease your office wait time and improve office efficiency.