Patient Forms

Medical Empowerment LLC provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.

• PATIENT ADVOCATE CONSENT DOCUMENTS & HEALTH QUESTIONNAIRE
  • Includes: Agreement for Medical Consulting Services, Fees and Payment Information, Health Questionnaire, Current Medications, Consent for Release of Information, and Mandatory Reporting of Suspected Abuse
• PATIENT BIOGRAPHICAL QUESTIONNAIRE