New Patient Forms

Below are forms you will need to complete before your first appointment. To speed up the process, you can download them now and bring them to your appointment filled out.

New Patient Forms - (9 forms) (PDF)

Medical Home Checklist (PDF)

Welcome to your Medical Home (PDF)

Single forms

New Patient Health History (PDF)

Save Card on File Authorization Form

New Patient Policy Form (PDF)

New Patient Portal Sign Up (PDF)

New Patient Privacy Policy (PDF)

New Patient Notice of Privacy Practices (PDF)

New Patient Data Information (PDF)

New Pediatric Patient Data Information (PDF)

Annual Health Habits (PDF)

TeleVisits Now Available

Call your Silver Cross Medical Group provider to make an appointment.

Schedule Appointment

Please call your doctor/provider to make an appointment.

Physicians on Silver Cross Hospital’s Medical Staff have expertise in their areas of practice to meet the needs of patients seeking their care. These physicians are independent practitioners on the Medical Staff and are not the agents or employees of Silver Cross Hospital. They treat patients based upon their independent medical judgment and they bill patients separately for their services.