New Patient Paperwork

Alliance Health Care offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• The New Patient Health History Form can be completed and submitted on your computer.
• The New Pediatric Patient Form is a PDF file. You will need AdobeReader® to view the form.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.