New Patient Paperwork

New Patient Forms

For all new patients, please take a look at the following forms to see if you need to have them filled out prior to your initial visit to our office.

*Patients walking into the Urgent Care do NOT need to fill out the following forms*

 

(ROI) Release of Information Forms:

Please print and fill out these forms so we can recieve the records from your previous doctor or send them to a new doctor's office. 

Click here for the ROI to release records from a different facility to HAPPI Health

Click here for the ROI to release records from HAPPI Health to another office. 

Please fill out the correct ROI and then have it sent to our office via either fax or delivering it in person to one of our offices. 

 

 

New Adult Patient Paperwork

For all adult wishing to become new patients please fill out the following paperwork to help establish you as a patient at our offices. Fill out the forms accordingly and return them to our office as soon as you are able to. 

New Adult Patient Packet

*Patients under 18 do NOT need to fill out this new patient packet. All of their paperwork will be handled in the office*