New Patient Forms

New Patient Forms

Do you want shorter wait times?  A faster appointment?  Please fill out these forms.

Shorten your wait period by filling out and bringing these forms with you to your appointment!

STEP 1.

Click each tab to open and download form.

STEP 1

Click each tab to open and download form.

Please review these forms below to see if they apply to you.
 
Please review these forms below to see if they apply to you.

STEP 2.

If you are using a smartphone/ tablet, download Adobe Acrobat to complete and sign forms.

(this app is FREE and compatible with Apple and Android devices)

STEP 2

If you are using a smartphone/ tablet, download Adobe Acrobat to complete and sign forms.

(this app is FREE and compatible with Apple and Android devices)

DOWNLOAD FROM GOOGLE STORE

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DOWNLOAD FROM APPLE STORE

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DOWNLOAD FROM GOOGLE STORE

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DOWNLOAD FROM APPLE STORE

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STEP 3

Once all forms are completed and signed, please print them out and bring with you to your appointment. 

You can also email all forms directly to us at kockert@pacehealthcaregroup.com or hwilcox@pacehealthcaregroup.com for immediate delivery.

Additional: When emailing forms, please attach an image of your insurance card.

STEP 3.

Once all forms are completed and signed, please print them out and bring with you to your appointment. 

You can also email all forms directly to us at kockert@pacehealthcaregroup.com or hwilcox@pacehealthcaregroup.com for immediate delivery.

Additional: When emailing forms, please attach an image of your insurance card.

(Please specify if you are a new patient or returning patient in the subject line).

Additional Forms  (for review)

Please review the following forms prior to receiving care.

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Click here for first appointment checklist.

Additional Forms  (for review)

Please review the following forms prior to receiving care.

Click here for first appointment checklist.