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Patient Forms

For New Patients

Please print and complete the following forms and bring them with you to your first visit along with your insurance card, if you would like us to bill insurance.


For Returning Patients


Dr. Myers will often coordinate care with other providers.  A medical release form will be required for each provider you would like her to communicate with regarding your care (for example, your gynecologist, cardiologist, rheumatologist, etc.).  Print this form here:

Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print
forms for your appointment