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Patients & Visitors

Patient Registration

You will find the downloadable patient registration forms below. They should be printed out and completed before your office visit. Completing these forms will reduce your in-office registration time.
New Patients:
If you are a new patient, please download our patient registration form and fill it out before your scheduled appointment. You should then arrive early to your appointment in order to finalize your registration. New patients should bring their insurance card in addition to their completed registration form. 
 
Existing Patients:
If you are already a patient of Premier Internists, you should only fill out a registration form if any information has changed (e.g., your insurance, your address, your employer, etc). You should then arrive at our office before your scheduled appointment in order to finalize your registration.

Appointment Request Form

Patient Forms

The following forms are our patient forms.
Please click the below links to download.

Patient Form 2

HIPAA Form

Patient Self History

Patient Forms

The following forms are our patient forms.
Please click the below links to download.

Patient Form 2

HIPAA Form

Patient Self History

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