Patient Forms

New Patient Forms

If you’re a new patient, please complete the following:

• Registration form
• Communications consent
• Pain management agreement
• History and physical form
• Review or Privacy Notice

Allergist Forms

If you’re seeing an allergist within the SMH Physicians Network, please complete the above  new patient forms, in addition to the following:

• New patient questionnaire
• Review of systems

Pediatric Forms

If you’re seeing a pediatrician within the SMH Physicians Network, please complete the above new patient forms, in addition to the following:

• Asthma Risk Assessment