ADULT HISTORY FORM

  • You may submit the information on this form in whatever method is most convenient:
    1) Download the form, fill it out (digitally or manually), and use the Upload Tool to submit it before your visit. The Upload Tool will require that you either scan or take a picture of the completed form, if you complete it manually.
    2) Download the form, fill it out (digitally or manually), print the form, and bring it with you to your visit.
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