FIND MANY OF OUR FREQUENTLY USED FORMS
Online Forms
New Patients
Patient Intake Form
We are not currently accepting new patients at this time. Please visit the Divisions of Family Practice website for more information on finding a family doctor in your area.
Mental Health
ADHD Self Report
The Adult ADHD Self-Report Scale Symptom Checklist is a self-reported questionnaire used to assist in the diagnosis of adult ADHD. Please download this form and return as instructed by your Family Doctor.
EDPS (Perinatal/Postnatal Depression)
The Edinburgh Postnatal Depression Scale (EPDS) is a set of 10 screening questions that can indicate whether a parent has symptoms that are common in women with depression and anxiety during pregnancy and in the year following the birth of a child. Please download this form and return as instructed by your Family Doctor.
MDQ
The Mood Disorder Questionnaire is a self-report questionnaire designed to help detect bipolar disorder. Please download this form and return as instructed by your Family Doctor.
PHQ-9/GAD-7
The GAD-7 is a measurement for Anxiety Disorders and the PHQ-9 is a measurement for Depression. The PHQ-9 and GAD-7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. Please download these forms and return as instructed by your Family Doctor.
Women's Health
ADHD and Mensus Info
Information regarind ADHD and the menstural cycle. Please download for your information.
Bacterial Vaginosis Info
Information regarding the treatment and prevention of Bacterial Vaginosis. Plese download for your information.
Hirsutism Info
Information regarding Hirsutism. Please download for your information.
IUD After Care
Things to watch for and post-IUD care information.
IUD Prep Sheet
How to prepare for your IUD appointment.
Nexplanon Prep Sheet
How to prepare for your Nexplanon appointment.
PCOS Handout
Information regarding Polycystic ovary syndrome. Please download for your information.
Post Insertion Info
Post IUD insertion care and information.
Vulvar and Vaginal Pain Treatment
Information regarding the care and treatment of vulvar and vaginal pain.
Vulvodynia Patient Info
Information regarding Vulvodynia treatment and care. Please download for your information.