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For New Patients: History Information Sheet

Speed up your visit:

How often have you visited a doctor's office for the first time only to find your actual time with the doctor delayed by that annoying first visit personal medical history form? Eliminate the wait.     Follow the instructions below to print the form, fill out the new patient history form and submit it to an ARC office staff member upon your arrival.

Instructions:
Note: You only need to bring this form with you if you are a new patient.

"Click here"  to view the printable form.

Click the "Print " button on your browser.

Fill out the printed form.

Please note that these PDF files need Adobe's Acrobat Reader software to be viewed.
Download this software for free by clicking on the icon below the menu to the left.

 

 

 

 

 

   
 
Associated Retinal Consultants P.C. |  39650 Orchard Hill Place | Suite 200 | Novi, Michigan 48375
Phone: (800) 450-2964 
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