Forms and Documents

You may print out and complete these information forms and bring them with you to your appointment.

Online Forms:

• New Patient Form
• New Patient Form (Spanish)
• Establish Patients - Update Forms
• Patient Information Form
• Medical History Form
• HIPAA Notice of Privacy Practices
• HIPAA - Patient Consent Form
• Record Release Form
• Financial Policy

Printable Forms:

• Patient Information
• Medical History Form
• HIPAA Notice of Privacy Practices
• HIPAA Privacy Authorization Form
• Financial Policy
• Record Release Form
• Fennimore Frequently Asked Questions (600kb)
• Lancaster Frequently Asked Questions (619kb)
• Questionaire for Sleep Apnea and/or Snoring (1.02mb)
• The Epworth Sleepiness Scale (1.27mb)

If you have any questions about completing these forms, please contact our office, 608-723-2141, or bring the incomplete form with you to your appointment.