For your convenience prior to your first appointment, you may download our New Patient Information Form in either English or Spanish.
New Patient Forms
To help make your first visit to Artemedica as smooth and comfortable as possible, we encourage you to complete your patient forms before your scheduled appointment. Taking a few minutes to provide your information in advance allows our team to better understand your medical history, health needs and treatment goals so we can make the most of your consultation.
Simply click the appropriate download link to the right, print the form and complete all applicable sections. Once finished, you may fax or mail your paperwork to our office or bring the completed forms with you on the day of your appointment.
If you have questions about which forms to complete or need assistance with any of the information requested, our friendly team is happy to help. Please contact our Santa Rosa office at (707) 577-8292 or our Healdsburg office at (707) 415-8888.
New Patient Information Form
If you are visiting Artemedica for the first time, please complete our New Patient Information Form before your appointment.
Pre-surgery Health and Wellness Questionnaire
If you are preparing for a surgical procedure at Artemedica, please complete our Pre-Surgery Health and Wellness Questionnaire.
Formularios para Pacientes Nuevos
Para su comodidad, antes de su primera cita, puede descargar nuestro Formulario de Información para Pacientes Nuevos en inglés o español. Haga clic en el enlace a continuación para descargarlo e imprimirlo. Una vez completado, puede enviarlo por fax, por correo postal o traerlo consigo el dÃa de su consulta.
Como siempre, si tiene alguna pregunta sobre la información incluida en estos formularios, no dude en comunicarse con nosotros. Puede llamar a nuestra oficina de Santa Rosa al (707) 577-8292 o a nuestra oficina de Healdsburg al (707) 415-8888.