Patient Forms

Patient Information

COMPENTENT • COMPASSIONATE • COLLABORATIVE

Thank You

Healthcare requires a lot of paperwork and follow-up to make sure you get the care you need.
Please help us by completing your patient forms.
Thank you,
APMI Medical Staff

Patient Forms

New Patient Package

Please carefully read the information below. Print out and fill the New Patient Questionnaire completely. Bring it to your first appointment.

Initial Visit Letter
Notice of Privacy Practices
New Patient Questionnaire (English)
New Patient Questionnaire (Spanish)
Follow Up Package

Please fill out both forms and bring to your next appointment.

Follow Up Questionnaire
Procedure Information and Forms

Please read and follow pre-procedure instructions carefully. Fill out the first two pages and bring with you to the procedure.

Procedure Questionnaire
Things to Remember Before Procedure
Suboxone Detox Information and Forms

Please fill out all the forms and bring them to your first appointment.

Suboxone Detox Questionnaire
Suboxone Detox New Patient Agreement
How to Refer to us

Referral Document