Patient Forms and Paperwork
What to Bring to An Appointment
These items will help you get the best care possible in the shortest amount of time.
- Patient’s insurance card
- Physician referral forms, if required by insurance
- List of prescriptions and/or over-the-counter medications, including dose and frequency
- Information about the patient’s medical and surgical history
- Recent x-rays or relevant records
- Please download and fill out New Patient Forms
You can use the following links to submit your New Patient Paperwork to us electronically at your own convenience. Please take note of the following before begining the electronic submision process:
- If you have a Neuro-Ophthalmology appointment, please complete the Neuro-Ophthalmology New Patient Paperwork
- If you have an appointment with Dr. McCoy, please complete the McCoy New Patient Paperwork
- If you have an appointment with Dr. Eross or Kristin Plyer, please complete the Eross New Patient Paperwork
- If you are seeing Dr. Bowen or Lisa Nelson, please complete the Bowen New Patient Paperwork.
- If you are seeing Dr. Mahant, please complete the Mahant New Patient Paperwork.
- For all other providers, complete the New Patient Paperwork
The form previews and links below are to Download and Print only. If you wish to submit electronically you must use the links in the section above.
New Patient Paperwork
Dr. Bowen-New Patient Paperwork
Dr. Eross New Patient Paperwork
Dr. McCoy New Patient Paperwork
Psych New Patient Paperwork
Dr. Mahant-New Patient Paperwork
Hyperhidrosis New Patient
New Problem Paperwork
New Problem-Dr Bowen
Medical Records Request