Download, print, and complete these forms before your visit. Bringing them with you saves time at check-in and helps our team prepare for your appointment.
Each form opens as a PDF. If you are unable to print, arrive 15 minutes early and our staff will provide paper copies.
For new patients seen for lung or breathing concerns. Includes patient information and emergency contacts, oxygen use and prior breathing-test history, our Insurance and Financial Policy, and the Notice of Privacy Practices.
Download PDFFor new patients seen for sleep concerns. Includes the Patient Sleep Questionnaire with the Epworth Sleepiness Scale, our Insurance and Financial Policy, and the Notice of Privacy Practices.
Download PDFAnnual update for established patients. Includes our Insurance and Financial Policy and the Notice of Privacy Practices, to be reviewed and signed once each year.
Download PDF