Patient Information Forms
If this is your first time visiting our office, or if you have not been seen by one of our physicians for more than 2 years, you will need to complete our patient demographic, history and HIPAA forms.
If you prefer to print the forms and bring them with you to your visit, click on the appropriate links below, (Links will open in a new window.)
If you choose to complete the forms in the office YOU MUST ARRIVE 20 MINUTES PRIOR TO YOUR SCHEDULED APPOINTMENT TIME in order to keep your scheduled appointment time.
We thank you for your anticipated co-operation.
If you are scheduled to see Dr. Varma for a back or neck problem please complete the necessary forms below.
If you are involved in a Workers Compensation claim or a No-Fault claim (motor vehicle accident), please complete the appropriate additional forms:
What to bring to your appointment
- All of your health insurance cards
- Physician referrals
- If applicable, please bring prior X-rays, MRI studies, or previous operative notes.
- Workers Compensation / No-Fault claims: Please bring all appropriate paperwork to prevent delays.