Resources

Patient Forms

Save time at your visit by completing these forms in advance. Contact the office and we'll send digital copies.

New Patient Intake Form

Demographics, insurance, and basic medical history.

Request form →

Medical History Questionnaire

Detailed history to help your provider prepare for your visit.

Request form →

Release of Records (HIPAA)

Authorize Recon to send or receive medical records.

Request form →

Financial Policy Acknowledgement

Review and acknowledge our billing and payment policies.

Request form →

Telehealth Consent

Required prior to scheduling a virtual visit.

Request form →

Controlled Substance Agreement

For patients prescribed scheduled medications.

Request form →
Need help? Call any of our offices and our front desk team will email or mail the forms you need.