SHS Clinic Forms

Pre-Appointment Forms

Please print and fill out these forms before your visit in order to help reduce potential waiting time:

New Patient
If you have never been to the clinic before.

Established Patient
If you have been to the clinic in the past two years, but before 2009.

Recently Established Patient
If you have been to the clinic in 2009.

Patient Feedback Forms:

Patient Satisfaction Survey 
Please complete after your appointment to let us know how we are doing.

Patient Comment Form
If you have any concerns after an appointment, please bring them to our attention using this form.

*Note: These forms are in an electronically readable format. In order to view, and subsequently print (to a laser or inkjet printer) them, you must obtain and install the Adobe® Acrobat® Reader. To obtain the reader click here.