Downloadable Forms

Downloadable Forms

When you come into the Windmill Health Center, we want you to relax. Therefore, if it’s more convenient for you, feel free to fill out our forms in the convenience of your home or office in advance.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Assignment of Benefits Form – Required

This allows us to determine your insurance benefits.

Auto Accident Form – Only If You Were Involved In An Auto Accident

If you have been involved in an auto accident, please complete this form so we can determine benefits and collect from the appropriate parties.

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