Patient Forms
New Patient Forms
If you are a new patient and would like to save time during your first visit, please feel free to print out the following forms, fill them out prior to your appointment and bring them with you. Otherwise, you will be provided with copies of these forms to fill out when you arrive.
New patient forms
Health History form
Patient Agreement form
Records Release Forms
If you would like to have your medical records released TO Emerald City Medical Arts, please use this form.
If you would like to have your medical records released FROM Emerald City Medical Arts, please use this form.
Incident Reports
Incident Reports Explained
Incident Questionaire General
All Emerald City Medical Arts forms are in PDF format and you will need Adobe Reader to access them if it is not already installed on your computer. You may get the Adobe Reader from the link below if you do not already have it installed.
