Total MD welcomes you to our practice. Once you have made your initial appointment, you may pre-register by clicking on the links for New Patient Forms below. Simply download, print, and complete the forms prior to your arrival. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process. During the COVID-19 Pandemic you may also email the forms to: firstname.lastname@example.org
Downloadable Patient Registration Forms:
2. Patient Initial Evaluation – complete only if you were involved in an accident
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.