For your convenience, the following patient forms are available for you to complete before your appointment. Please complete, print, and bring these forms to your appointment.
Patients under 18: Please complete the Pediatric Patient Registration
Patients over 18: Please complete the Adult Patient Registration Form
New Patient Forms:
- Advance Directive Form
- Release of Records Request (Request to obtain medical records from another practice to HT Family Physicians)
- Authorization to Release Medical Records (Authorization for HT Family Physicians to release records to a another practice)
- Notice of Nondiscrimination
Please Bring the Following Items to Your Appointment
- Insurance Card – If you don’t have your Insurance Card, payment will be required at the time of your visit.
- Immunization Record
- Photo ID/ Student ID – If available
- Prescription Bottles
- Vitamin Bottles
This information will enable the physicians and staff at HT Family Physicians to better serve you.
Thank you for your assistance,
HT Family Physicians Inc.