Patient Forms

In order to expedite your visit to Dr. Humphreys' office we are offering several of our forms on-line. These forms are in Adobe PDF format and you will need to install the free Adobe Reader to download and print the forms. If applicable, you can fill out the forms at home and bring them with you when you visit Dr. Humphreys. If you have any questions you may call 699-3141.

• Patient Info *
• Surgical Pre-Admission
• ENT - Patient History *
• Review of Systems *
• Aspirin
• No Show Policy *
• Privacy Notice *
• Practice Guidelines *
• Cosmetic New Patient Form
• Lunchtime - Weekend Laser Peel
• Patient Consent Form
• Skin Type

The forms with an asterisk beside them must be filled out by every new patient. Please feel free to download these forms and fill them out prior to your first visit in our office.