Online Forms

Falls Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Paperwork - Required

Please fill out the forms below and bring them with you to your appointment.

During your initial visit, we will be reviewing your health status and these forms 
contain information necessary to complete this process. This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please download, print, and bring to your New Patient Appointment.

Falls Clinic New Patient Paperwork

Pediatrics New Patient Paperwork









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