Forms

In an effort to make the smoothest experience possible for our patients, below are three forms we require before first visits. Please download, print, complete and bring them with you to New Horizons. Your computer will need a version of Adobe Reader to view the PDFs. Thank you for your cooperation, and we will see you soon.

 

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Patient Registration Form
This form prompts personal information and the identification of primary and secondary insurances.

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HIPPA-Patient Responsibility Form
This form authorizes New Horizons to disclose specified information and explains our cancellation policy.
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Patient History Form 
This form asks specific, in-depth questions pertaining to patients' personal medical histories.