Patient Forms

Ironwood Family Practice » Patient Forms

At Ironwood Family Practice, we need patients to fill out certain forms to help us understand them and their medical history better. If you fill out the essential forms before the appointment, it will save a lot of time during the check-in process and help you to talk to our clinical team for a longer time. Help us provide the best care possible for you and your family by filling out the forms below.

New Patient Registration

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Clinical History Form

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Notice of Privacy Information Practices

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Request For Release of Medical Records FROM Ironwood Family Practice

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Request For Release of Medical Records TO Ironwood Family Practice

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Sports Physical

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Vasectomy Consent

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Consent to Treat a Minor

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Consent by Proxy for Non-Urgent Pediatric Care Form

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Medicare Annual Wellness Packet

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Pediatric Clinical History Form

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Physical (Annual) Exam

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