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Medical Forms

In order to expedite your visit we request that you fill out certain forms prior to seeing you in the clinic. If you have never been seen by Dr. Kruse at our facility, please fill out all of the forms listed below. If you have been to our office in the past and are returning due to a new problem, please fill out only the "New Problem Form". To open the form, click on the link below. If you have difficulty accessing the form, you may need to install Adobe Reader. A link is provided for you to the right of the form list. Please contact our office if you have any further questions.

Privacy Notice (HIPAA) Patient Registration Form Medical History Form Financial Policy Form New Problem Form

If you cannot access the forms you can click on the icon to download the software.