Patient Intake Documents

Dr. Higgins will need this information prior to your new patient appointment. To save time, you can download the forms now, print them, enter your info, and bring the documents with you.

NOTE: Sections of the forms may be filled out online, but HIPAA laws do not allow them to be sent to us via email. Please download and print. Your privacy is important to us.

If you prefer, we have copies available at our office. You are welcome to pick them up to take home (saves you from downloading and printing), or you can come to your first appointment early and fill them out in our waiting room prior to your appointment.

Medical Intake FormDownload
Review of Systems FormDownload
Patient Registration FormsDownload
Release of InformationDownload
Authorization to DiscloseDownload