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Medical Patient Information & Registration

Included in this two-part patient information and registration form is room for all of the information a medical clinic needs to collect to welcome a new patient to their clinic. This digital form can be completed online or on a smartphone, and it asks for basic patient contact information, as well as their insurance information, health history, and a box for the patient or guardian to sign. Forms can be texted directly to a patient’s cell phone from the office computer or posted on your clinic website.