Fill out forms in advance before your visit.
|Print single-sided||Print double-sided|
|Fill out forms in blue or black ink||Use red or green ink (only blue and black please)|
|Check or cross off boxes individually||Forget to bring your forms with you to your visit|
FORMS FOR NEW PATIENTS
FORMS FOR RETURNING PATIENTS
You are a returning patient if you have been to this center within the past 2 years.
- Returning patient Annual Exam: under 40 or over 40
- Returning patient STD Screening or Problem Visit
- Returning Pregnancy Test
Depending on the reason for your visit, you may have other forms to complete. If you have questions, call your Health Center.