Louisville Medical Clinic

As a new patient, it’s important for us to have information about your health history. Please complete these forms (if applicable) and bring it with you to your appointment. This information will be entered into your personal health information file. This information is completely confidential and only used by your healthcare team.

Louisville Clinic New Patient Form (PDF)

Medicare Authorizations (PDF)

Please arrive to your first appointment at least 30 minutes early so we can procure all of the needed documentation, insurance information, etc.