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John P. O'Hearn, MD |
Office Information: Medical Forms
Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.
How to fill out the Health History form online.
There are 3 steps you will need to take to fill out the health history form. You have approximately 45 minutes to complete the form.
- Create an account.
- Once the account is created you will be taken to the Patient Information window. Fill out the identifying information needed to import to E-Record (our electronic medical record). The items with the asterisk are required fields.
- Once this window is complete, submit the information. You are then presented with the window to click on the link to fill out the Health History form. Once you click this link the form will then come up. Complete the history form then click on the finish/submit tab to allow form submission.
- Once you click the submit button, there will be a message at the end that the form was successfully submitted. If you do not see this message then you will need to start over because the history form was not saved.
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