For your convenience, the following registration documents are available for you to download, print, and complete prior to arrival for your physician office visit.
The documents in this section are in PDF format and you will need Adobe Acrobat Reader to view them. To download this software for free, please click here.
All patients should complete all forms included in the following Patient Registration packet:
Patient Registration Forms Package
(includes: Patient Registration, General Consent for Treatment, Notice of Privacy Practices Acknowledgement *, Patient Responsibilities & Statement of Understanding, Authorization to Discuss Health Information with Others and/or Leave Telephone Messages)
*VMG Notice of Privacy Practices
Medical History(choose only one of the following forms based on the specialty of the doctor you are seeing for your appointment)
Internal Medicine/Family Practice/Geriatric Medicine
Please bring all completed forms to your physician appointment.