Patient forms for 2020
If you have not been seen at the new location
2024 Update Form Adult :: This is the adult update form for 2024. If you have not been seen in our office in 2024 you will need to complete this form and bring it to your first appointment of the year.
2024 Update Form Child :: This is the child update form for 2024. If your child has not been seen in our office in 2024 you will need to complete this form and bring it to their first appointment of the year.
2024 Controlled Substance Agreement :: This form should be completed on your first visit to the clinic in 2024.
Newly required CDS applications:
CDS Application Adult :: This form is required under new laws that took effect in Nov of 2018. If you take a controlled medication please fill out this form and bring it to your first appointment.
CDS Application Child :: This form is required under new laws that took effect in Nov 2018. These must be completed on or before the first appointment if a minor child receives a controlled medication.
Other Forms
2024 Wellness Form :: This is new annual requirement from Medicare and other insurance companies. This is the yearly wellness screening for 2024. Dr. Schafer will start these in January of each year and you can fill them out and return these to the office on your next appointment.