Please click on each link individually to fill out each of the 7 forms.

We are looking forward to seeing you. We recognize that it takes some time to fill out these forms, but they are important for us to give you the best of care.  By doing them in advance, it will make the initial visit go more smoothly, and faster.

 

1 - Welcome to our practice

2 - Amarillo Medical Specialists Endocrinology Registration (jotform.com)

3 - Endo Medical History Form (jotform.com)

4 - Review of Systems (jotform.com)

5 - HIPAA Notice of Privacy Practices (jotform.com)

6 - No show Policy 

7 - No Show Credit Card Authorization Form (jotform.com)

8 - Immtrac-2 Form (jotform.com)

9 - Potter County Venue Agreement (jotform.com)