New Patient Forms

 

The easiest and fastest way to become a member is to sign up online by clicking "Join Us" and skip the rest of this page.  However, if you prefer paper forms, please complete:

  1. the Registration Form
  2. the New Patient Questionnaire,
  3. and the Medical History Form.  

Your Registration Form and New Patient Questionnaire are required before you can schedule an appointment.

Save time at your first appointment by dropping off your completed medical history form at the office prior to your first visit (you can also submit your medical history form at the same time as you submit your registration forms).

If you are unable to complete your medical history form prior to your first appointment, please arrive 30 minutes before your scheduled appointment to complete it.

If you have any questions, please call us at (970) 242-1566 or email info@appletonclinics.com