Patient Forms 2017-05-17T16:26:55+00:00

Patient Forms

Please printout and complete the following forms. To best protect our client’s privacy, the online forms are not writable.

First time patients please use NEW PATIENT FORMS:  Health History;  Application;  Payment Policy.

Bring them completed to your appointment along with your photo ID and your insurance card.

Returning patients use Re-Exam form to report a new condition if you have seen Dr. Fausnaught within the last 3 years. If it has been longer than 3 years, please use the New Patient Forms.