top of page

Patient Forms

New Patient Health History Form

Read terms and conditions of health history form

Complete and submit form online

AIH Informed Consent Form

Complete and submit form online.  Please print a copy for your records.

AIH Telehealth Informed Consent Form

Complete and submit form online.  Please print a copy for your records.

Follow-up Health History Form

Read terms and conditions of health history form

Complete and submit form online

AIH Payment Authorization Form

Complete and submit form online.  Please print a copy for your records.

bottom of page