Make an Appointment: 256-533-5792 | 256-533-0024

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    Client Forms

    Please choose one of the following registration forms based on the AGE of the new patient.

    *Note: If you would like to fill out your new patient form by typing into the blanks rather than handwriting it, please follow these instructions:

    • Click the appropriate link below and download the PDF.
    • Open the PDF in Adobe Acrobat Reader.
    • Select the “Tools” tab.
    • Select “Fill & Sign”. This will allow you to use the cursor to click on the blank you wish to fill in. Finally, print the form and bring it with you to your appointment!

    FORMS

    Adult New Patient Registration Forms (Ages 21 +)

    Child New Patient Registration Forms (Ages 8-20)