Before You Visit
Our team looks forward to meeting you and discussing your healthcare needs and concerns! Prior to your appointment, we encourage you to fill out the patient forms that are provided on this page to accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment.
If you are unable to download our patient forms, we recommend that you arrive to your appointment 15-30 minutes early so that you can have ample time to fill out the appropriate forms.
NEW PATIENT REGISTRATION
We are excited to welcome you to North Hills Family Medicine!
Please print and fill out our new patient forms and bring them to your appointment. Use the Medical Information Release forms to request medical records from your previous provider.
Log in to our Online Bill Pay system to take advantage of features like e-Statements, Statement and Payment History, and Payment Profiles.
After scheduling your first appointment, we will send you a one-time Personal Identification Number (PIN) enabling you to gain access to our secure online tools to managing your health records and communicate with your doctor.
We are proud to work with over 30 providers and accept a variety of insurance plans. Please call us if you do not see your carrier listed.
For your convenience, we have compiled information to help you be more informed about various health conditions and medical treatments.
Parents: You can conveniently print out and complete our pre-visit questionnaires at home and bring them to your child’s next check-up.
CONSENT FOR MINORS
Please use this form to appoint relatives, friends, teachers, clergy, neighbors – anyone who is over l8 years of age – to be responsible for your children when you are away from them.
We have a number of documents available for you to download and print to help you evaluate and track your health between visits.
Pediatric and Adolescent Pre-visit Questionnaires
Parents: you can conveniently print out and complete these Bright Futures pre-visit questionnaires at home and bring them to your child’s next check-up.
We encourage the following well-visit schedule: