Patient Forms

For your convenience, we’ve provided some of our most commonly used forms below. If you’re a new patient visiting us for the first time, please print and complete the following forms before your appointment:

Downloadable Files:

• Patient History Form

• Release of Records to Dr. Wynne

• Notice of Privacy Practices

• Acknowledgement of Receipt

• Medical Release

• Office and Financial Policy

Bringing these completed forms to your first appointment will help streamline your check-in process. Additionally, we’ve included a copy of the U.S. Department of Health and Human Services’ Notice of Privacy Practices for your reference.