Patient Forms

If this is your first visit to our office, please download and fill out the forms available below. Bring the completed forms with you to your appointment. Completing the forms in advance will reduce your check-in time. These forms can be filled in interactively on your computer screen.

 

Click Here to Download New Patient Forms

Note: You will need Adobe Reader to view these files. If you don’t have Adobe Reader, you can download a free version at this link.

Transferring Medical Records to Dr. Stager’s Office
If you need to transfer records from a prior physician to our office, please download and complete this form.

Transferring Medical Records to Another Physician
If you need to transfer records from Dr. Stager’s office to another physician, please download and complete this formNote: Records transferred from our office will be sent within 15 days of receipt of your request.