Patient Forms

Filling out our forms prior to your scheduled appointment will save you time on the day of your appointment.

There are two ways you can fill out a form before your visit. First, you can fill out an online form. The information you provide here will be entered into our computer systems and you will only need to verify that the information is correct at the time of your visit. Your submission of personal information is secure with 128 bit encryption over a secure socket (https://).

Second, if you would rather not complete the forms online, you can simply click on the PDF icon, print the form out, and bring the completed form with you to your scheduled appointment.

Which forms do I need to fill out?

Please fill out the below form completely to find out which forms are required.

Are you a new patient of POA?	Yes No
Are you a new patient of Drs. Barber, Khan, or Reyes?	Yes No
Are you coming for a medical-legal evaluation?	Yes No
Are you going to have an MRI?	Yes No
Do you need or have you been asked to fill out the bone density form?	Yes No
Would you like to provide us with some feedback?	Yes No