New Patient Forms

This document is used in all of our offices for new patient appointments.  Please print, complete and bring them with you to your first appointment with us.

New Patient Forms: LOHP-New-Patient-Paperwork

Patient Acknowledgement

In an effort to better serve our patients, we are requiring a 24-hour advance notice, if you are unable to keep your scheduled appointment. 

Patient Acknowledgement Form: Signed Patient Acknowledgement

Medical History Form

Please print and complete the medical history form for the specific Live Oak Health Partners location at which you have an initial appointment.  Bring them with you to your first appointment with us.

Primary Care Medical History Form: Live Oak Health Partners Primary Care
Dr. Wend ONLY Medical History Form: Live Oak Health Partners Primary Care
Walk-In Care Medical History Form: Live Oak Walk-In Care
Community Clinic Medical History Form: Live Oak Health Partners Community Clinic
General Surgery ONLY Medical History Form: Live Oak Health Partners Specialty Care
ENT and Orthopedic Medical History Form: Live Oak Health Partners Specialty Care
Gynecology Medical History Form: Live Oak Health Partners Specialty Care
Endocrinology Medical History Form: Live Oak Health Partners Specialty Care

Release of Information Form (all Live Oak Health Partners locations)

This form gives Live Oak Health Partners permission to release your medical information to another doctor or clinic.  If you need to release your information, please print, download, complete and fax, mail or bring to us so that we may fulfill your request.

Release of Information Form: Release of Information