Patient Forms

For your convenience we have provided some of our most commonly used forms here. If you are a new patient coming in for your first visit, please print out the Patient History Form, Acknowledgement of Receipt, Medical Release and the Office and Financial Policy. You may complete them at home and bring them to your first appointment. We have also provided a copy of the U.S. Department of Health and Human Services' Notice of Privacy Practices for your information.

Downloadable Files:

• Patient History Form

• Release of Records to Dr. Wynne

• Notice of Privacy Practices

• Acknowledgement of Receipt

• Medical Release

• Office and Financial Policy