Patient Forms

The Following Forms are for Information Pertaining to the Practice

These forms are given to every new patient that joins the practice. Please take a moment and read through the forms. To save time, please fill out the appropriate forms below. You can e-mail completed forms directly to the office at info@orchardmedgroup.com.  Incomplete forms may result in you being responsible for the full/entire balance. Please email info@orchardmedgroup.com with any questions on our forms.

You may also want to print your forms.  Please note, you will need Adobe Acrobat Reader to print your file. Download a free copy.  All information requested is for your benefit. Please ensure all information is accurate and do not leave any areas blank, this may result in you incurring a bill. Don’t hesitate to call us if you have any questions!