New Patient Forms

Welcome to Platinum Digestive Health!

To expedite the check-in process, you can download, fill and sign these forms to bring with you to your appointment.

Faster Check-in

Complete forms at your convenience and reduce wait times

Complete Information

Ensure all necessary information is provided accurately

Smooth Process

Streamlined appointment experience from start to finish

Required Forms

Please download and complete all forms before your appointment

Patient Registration Form

Complete your basic personal and contact information for our records.

View Form

Patient Partnership Plan

Understand your rights and responsibilities as a patient in our practice.

View Form

Patient Acknowledgment Form

Acknowledge receipt of our privacy practices and policies.

View Form

Patient Medical History

Provide detailed information about your medical history and current medications.

View Form

How to Complete Your Forms

1

Download

Download all required forms to your device

2

Complete

Fill out all forms completely and accurately

3

Bring

Bring completed forms to your appointment

Have questions about completing your forms?

Contact Our Office