Forms

If you are a new patient, you can fill out some of our paperwork ahead of time to speed up your appointment.

Health History (This form is needed for an appointment like an annual exam or infection check)

Financial

Demographic form

HPV Vaccination (Gardasil) Consent Form

If you are under 18 and would like the Gardasil HPV vaccine, you will need the permission of a parent or guardian. Please print out the following form, have your parent/guardian sign it, and bring it along to your appointment.

HPV Vaccination Consent (English)

For more information about the HPV Vaccine, Gardasil, see the CDC’s Vaccine Information Statement.

Vacuna contra el VPH/ Consentimiento (Español)

Para obtener más información acerca de la vacuna contra el VPH, Gardasil, ver información sobre vacunación de los CDC.