New Patient Forms

Please print and fill out the following forms and bring them with you to your scheduled appointment. 

  • Patient Information Sheet
    Please fill out the form.  Sign where is requested.  At the bottom of the form please indicate up to 2 people (not including your physicians) to whom we are authorized to discuss your medical information with and sign.  If there is not one that you authorize, just write "NO ONE", sign and date.

  • Patient History Form
    Fill out the forms regarding your medical history as thorough as possible. At the front of the page, please indicate your reason to see Dr. Sheng under Reason Visiting this Office.

  • Medication Sheet
    Please fill out the medications your are currently taking, including the supplements.

  • Notice to Privacy Practice & Acknowledge Form
    The first page is regarding the privacy practice we adopt in this practice.  This is for you to keep.

    On the second page, please fill out your name, sign and date and bring this with you to your appointment.  This form indicates your acknowledgment of the privacy practice.

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