NEW PATIENTS
New patient paperwork
Fairwood provides PDF forms that can be completed at home or work. Download, print, and complete the necessary forms, then fax them or bring them to your appointment.
New Patient Paperwork
Download the clinic's new patient intake form.
Download PDF →Children's New Patient Paperwork
Download the children's intake and consent form.
Download PDF →HIPAA Privacy Information
Download the clinic privacy notice.
Download PDF →The forms are provided as PDFs. You may need a PDF reader to open them.
These forms may request sensitive health information. Complete and return them directly to the clinic using its instructions; this static copy does not submit or transmit form data.
