Downloadable Patient Registration Forms
For your convenience, Dr. Hurd provides you with these downloadable forms that you should read and complete before your first visit:
- Authorize Record Transfer – complete & return immediately
- Patient Information – complete & bring to appt
- Health History – complete & bring to appt
- Financial Agreement – complete & bring to appt
- HIPAA Policy – reference only
Clicking on any of the above links will bring up a form in a new window. Print the form, fill it out and then bring it with you to the office at your next visit.
If you are unable to print out the forms, please call or e-mail us and we’ll be happy to send them to you by regular mail.