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New Patient Forms
 
 
New Patient Information Forms

We have forms that need to be completed before seeing our doctors. See below for forms which you can print, fill out at your convenience, and either fax to us at 370-3951 (Provo) or 489-8957 (Springville) or bring with you at the time of your first appointment.

If you prefer, you may also fill out and submit the forms online.

Printable forms

  • Click here to view and print the adult new patient form and fax, mail, or bring to the office
  • Click here to view and print the child new patient form and fax, mail, or bring to the office

(Adobe Acrobat Reader is necessary to view and print the above forms, click here to download it free of charge if you don't have it)

Online forms

  • Click here to complete and submit the adult new patient form online
  • Click here to complete and submit the child new patient form online