Health Assessment                                      Friends and Family                Review of Systems

Insurance Authorization/HIPAA                 Rochester RHIO                    Medication Chart

Patient Financial Policy                                Release of Information FROM Dr. Thomas 

Release of Information TO Dr. Thomas

Forms needed at your first visit and then once a year afterward:  Health Assessment

Forms needed at EVERY visit:  Review of Systems

Forms needed at your first visit and then remain on file as long as you are treated here:  Friends & Family, Insurance Authorization/HIPAA, Patient Financial Policy, Rochester RHIO

Forms needed only for transfer of your medical records:  Release of Information