Patient Forms

Call (406) 252-5444
  • Billings , MT - 3990 Avenue D 59102
  • Sheridan, WY - 132 N. Gould St. 82801
  • (406) 252-5444 | Billings , MT - 3990 Avenue D
  • (307) 672-3457 | Sheridan, WY - 132 N. Gould St.

If you are a new patient to our office, the attached files contain our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.

Please print and complete both the Patient Profile and the Medical Condition/History.  The Notice of Privacy Practices is for your review and does not need to be brought to our office.  Thank you and please call our office if you have any questions at all. 

Please Remember to bring your ID & Insurance Card to your appointment. 

 

New Patient Paperwork                         Notice of Privacy Practice 

                                       





 

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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