Fill out forms in advance before your visit.
|
DO |
DON'T |
| 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
-
New patient Annual Exam: under 40 or 40 and over
- New patient STD Screening or Problem Visit
- New patient Pregnancy Test
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
OTHER FORMS
Depending on the reason for your visit, you may have other forms to complete. If you have questions, call your Health Center.
