Patient Forms

Online Forms

For your convenience, our clinic offers patient forms online, allowing you to complete them at your leisure before your appointment and saving you time during your visit. Simply fill them out securely from the comfort of your own home, ensuring a seamless experience when you arrive for your appointment.

Step 1: Download and print the appropriate forms.
Step 2: Fill out and sign the forms.
Step 3: Bring the forms with you to your appointment or fax them to us at 205-486-2382.

New Patient Demographics & Case History Forms

It's important that you fill out all required information on our forms to ensure we can provide you with the most effective care possible. These forms serve as a vital tool for understanding each patient's health history, current issues, and specific needs. By providing detailed information about your medical background, symptoms, and concerns, you enable us to accurately tailor our treatments to address your unique situation.

If you will be a cash/self-pay patient, please review and sign our Good Faith Estimate Form below: