We hope that the following information will be helpful to you. We respect your time and would like to help make your visit as efficient as possible.
FORMS TO BE COMPLETED
Below you will find various forms which must be reviewed, completed and signed. Please complete the registration forms, patient questionnaire and signatures on forms where indicated and bring them with you to your appointment.
Please download and utilize these forms for your visit at our medical practice.
DR. BORDEN/DR. ESTESS PATIENT FORMS
- New Patient Packet
- Patient Form Summary
- History Form
- Patient Demo Form
- Patient Financial Form
- Notice of Privacy Practices
- Letter of No Injury
- Medication Contract
- Waiver of Responsibility
To view the forms you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.
YOU MUST BRING ALL YOUR IMAGING STUDIES/FILMS FOR BACK OR NECK PATIENTS PLEASE BE SURE THAT YOUR IMAGES ARE ON DISC. FAILURE TO BRING YOUR STUDIES WILL REQUIRE US TO SCHEDULE AN ADDITIONAL APPOINTMENT.