New Adult Patients
Most new patient forms can be completed securely through our ModMed Patient Portal before your appointment. Completing your forms online reduces check-in time and ensures your provider has your information before your visit. Please check your email for your Patient Portal invitation and complete your registration before your appointment whenever possible.
If you are unable to access the Patient Portal, you may download, print, and complete the forms below and bring them with you to your appointment.
Download Adult Registration Forms
New Pediatric Patients
A parent or legal guardian should complete the child’s registration through the ModMed Patient Portal before the appointment. Completing forms online helps us prepare for your child’s visit and speeds up the check-in process. Please check your email for your Patient Portal invitation and complete your child’s registration before the appointment whenever possible.
If you are unable to access the Patient Portal, you may download, print, and complete the forms below and bring them with you to the appointment.
Download Child Registration Forms
Important: If someone other than the child’s legal parent or guardian will be bringing the child to the appointment, they must have a notarized consent form signed by the parent or legal guardian authorizing them to make medical decisions. Please contact our office if you have any questions regarding this requirement.
Privacy Practices
Read and review our privacy policies.