forms

FORMS

In order to minimize paperwork at the time of your visit, you may download and complete the appropriate forms.

New Patient Forms

New Patient Forms

New Patient General Information
For all new patients and those with address changes

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Privacy Policy

Privacy Policy

view AE’s HIPAA Privacy Policy

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Pharmacy Information Form

Pharmacy Information Form

AE uses electronic prescribing for new prescriptions. This form will indicate your preferred local pharmacy and mail order pharmacy if you have one.

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New Patient Questionnaires

Thyroid

Thyroid

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Osteoporosis

Osteoporosis

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Diabetes

Diabetes

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All other endocrine problems

All other endocrine problems

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