DOWNLOAD PATIENT INTAKE FORM HERE

Complete Your Forms Before Your Visit
Save time at check-in by completing your patient intake form before your scheduled appointment. The form helps our team understand your health history, current medications, concerns, and care needs so we can better prepare for your visit.
After downloading the form, please complete all applicable sections and bring the finished document with you to your appointment. Be sure to review your information for accuracy and sign where indicated.
Please Bring the Following
Your completed patient intake form
A valid photo ID
Your insurance card, when applicable
A current list of medications and dosages
Any relevant medical records, test results, or referral documents
A list of questions or concerns you would like to discuss
Need Help With Your Forms?
Our team is happy to assist with general questions about the patient intake process. Please contact HealthBridge Healthcare Clinic before your appointment if you are unsure which documents to complete or what information to bring.
Please do not email forms containing private medical or personal information unless instructed by a member of our staff.
New Patient Reminder
Please arrive approximately 15 minutes before your scheduled appointment to allow time for check-in and document review.
Complete Your Forms Before Your Visit
Save time at check-in by completing your patient intake form before your scheduled appointment. The form helps our team understand your health history, current medications, concerns, and care needs so we can better prepare for your visit.
After downloading the form, please complete all applicable sections and bring the finished document with you to your appointment. Be sure to review your information for accuracy and sign where indicated.
Please Bring the Following
Your completed patient intake form
A valid photo ID
Your insurance card, when applicable
A current list of medications and dosages
Any relevant medical records, test results, or referral documents
A list of questions or concerns you would like to discuss
Need Help With Your Forms?
Our team is happy to assist with general questions about the patient intake process. Please contact HealthBridge Healthcare Clinic before your appointment if you are unsure which documents to complete or what information to bring.
Please do not email forms containing private medical or personal information unless instructed by a member of our staff.
New Patient Reminder
Please arrive approximately 15 minutes before your scheduled appointment to allow time for check-in and document review.