Your Digital Health Resource
We’re dedicated to always providing our patients with a great experience. One way we do this is by providing a Document Library to all patients to utilize as a resource on our website. Here you can download necessary patient forms prior to your appointment to help speed up your check-in process and get you on your way to good health faster than ever! Click the button below to log into your Patient Portal before your visit!
To save changes to PDFs below:
- Click on the desired form, and it will open in a new tab.
- You will be able to edit the form with your information.
- Once that is complete, press the print icon in the top right-hand corner to save.
- For destination options, please choose Save As PDF.
- Once the form is saved, it will be ready to be attached to the form uploader. Please include the required information.
Submit your electronic consent for release of medical records below.
- Icon Key:
- Word
- Excel
- PowerPoint
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Waterloo Office (Logan Ave)
- Demographics
- Medical History Questionnaire
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Grundy Center
- 4 page patient paperwork
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Manchester
- 4 page patient paperwork
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Occupational Health Patients
- Four Page Patient Paperwork
- Work Compensation Medical Records Release
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Misc.
- Consent for Release of Medical Records
- Patient Registration Form - Large Print
- Prior Authorization to Treat Minors
- Student Athlete Authorization
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Telemedicine
- Telehealth Consent
- Telehealth Information