Navigation >> Plan A Visit : Forms

Certain paperwork is necessary at your initial visit. In order to reduce your registration time, we have made these forms available by following the simple steps below. You can fill them out in the comfort of your home and bring them with you to your appointment.

AS SIMPLE AS 1-2-3:
It's a very simple process.

1. Simply click on the form that you need in the "FORMS" section below

2. After it has loaded, you have two options:
   A. Print the form and then fill it out by hand, or
   B. Complete the form on-line and then print it out.

3. Sign where appropriate.

PLEASE NOTE: You will need the Adobe® Acrobat® Reader program installed on your computer to complete this task. It is available for FREE from the Adobe® web site at this link.

A LETTER FROM DR. BAYER

"Dear Patient:

Welcome, and thank you for considering our office to provide your health care needs.

Your health is your most valuable asset. Our goal is to enlist you as a partner in achieving and maintaining your good health in a comfortable and supportive setting.

Our medical staff is committed to caring for you, and your family.

Moreover, and in an attempt to better serve you, we are available Wednesday and Thursday evenings, Saturday, and have included SAME DAY APPOINTMENTS for those clinical conditions which need to be seen on an urgent basis.

We accept most health care plans.

We look forward to serving you and your family.

Sincerely,

Dr. Bayer."

FORMS:

1. General Patient Information Form
   
   

   Print >> Complete then The form may be printed and then completed by hand and brought to the office prior to your first appointment. Download Now! 43KB Download time @ 28.8Kbs ~ 19 sec.

   Complete >> Print then The form may also be competed on the computer using Adobe® Acrobat® Reader 5.0 (or greater) then printed and brought to the office prior to your first appointment. Download Now! 43KB Download time @ 28.8Kbs ~ 19 sec.

   
   
2. Health History Form:
   (It is only necessary to choose one option.)
   
   

   Print >> Complete then This form is to be printed and then completed by hand and brought to the office prior to your first appointment. Download Now! 38KB Download time @ 28.8Kbs ~ 15 sec.

   Complete >> Print then This form is to be competed on the computer using Adobe® Acrobat® Reader then printed and brought to the office prior to your first appointment. Download Now! 493KB Download time @ 28.8Kbs ~ 172 sec. (3.5 min)

   
   
3. Pediatric Information Form
   (It is only necessary to choose one option.)
   
   

   Print >> Complete then This form is to be printed and then completed by hand and brought to the office prior to your first appointment. Download Now! 16KB Download time @ 28.8Kbs ~ 7 sec.

   Complete >> Print then This form is to be competed on the computer using Adobe® Acrobat® Reader then printed and brought to the office prior to your first appointment. Download Now! 74KB Download time @ 28.8Kbs ~ 30 sec.