Patient Forms

For new and existing patients, we have provided several of our forms below in order for our clients to have easy access to any updates they wish to bring in to their next appointment.

Patients who bring in updated forms with them to their appointment can expect to have shorter wait times.

New Client Intake Packet   – To be filled out by all new clients.

Medical History Form   – For all clients to fill out for any medical changes and updates, as well as before their yearly physical examinations.

Existing Client Demographic & Contact Updates   – If a client’s contact information has changed, of they wish for us to contact them in a specific way (text, email, postal service); then clients may print and fill out this form and turn it in at their next appointment.

Release of Information Authorization   – To be filled out if a client wishes for us to send records or to communicate a patient’s care with another provider, caregiver or individual. The SCC will not share patient information or confirm an individual is in our care without this document signed and dated by the patient before the request is made.