We kindly ask our patients to fill out all forms thoroughly and properly. Each form is very important to our doctors and staff. Any forms that are not fully filled out will be considered incomplete and unacceptable. All forms must be completed including your name and date of birth at the top of each page. Forms are not valid when there is only a signature and no printed name for the patient. It is very essential that each form has all of your information filled out entirely. Thank you in advance for your cooperation.