New Patient and other Forms

Here you will find the paperwork needed for your first visit.  The first 3 forms below are necessary for all new patients to fill out.  If you plan to fill them out at our office please leave about 10-15 minutes to do so. Or you can print them here and take your time filling them out and bring them with you.  If you don’t have a printer…or it’s out of ink…don’t worry, we have copies for you at the office.

Please also remember to bring your insurance card and copays if applicable.

HFFAAC Patient Registration Form  — This form will give us all the required demographic information and such that are required to see you as a patient.

Medical Histroy Form  —  This form is a bit detailed but will give the doctor a necessary understanding of the extent of your personal medical history.

Patient_Assessment_Form  — This form will allow you to fill out some specifics about what is ailing you or what you are coming to see us for.

Privacy Pratices – Patient Rights – Billing Policies — Please read through this to be familiar with our privacy practices, patient rights and billing policies. A hard copy is also available at our practice location on the day of your visit.

Authorization for Release of Medical Records to HFFAAC – Print this form if you need to send a request that pertinant medical records from a previous doctor be sent to Dr. Hix for review.

Release of Information from HFFAAC to another party — Print this form if you need to request that we send records from our office to another party.