New Patients

We would like to take this opportunity to welcome you to New West Physicians and to thank you for choosing New West to be part of your healthcare. We support patient care with the team approach geared toward providing you with high quality, personalized healthcare focused on meeting your unique needs.
Below are forms to get your started with New West Physicians. Select the form you need, download and print. We look forward to seeing you!

Patients Packets and Forms

New Patient Packet

New Patient Packet

Please download, print and complete before bringing it to your first New West Physicians appointment.

Download
Patient Policies & Procedures

Patient Policies & Procedures

Financial, Prescriptions, test and scheduling information for all patients.

Download
Privacy Practices

Privacy Practices

This notice describes how medical information about you may be used & disclosed and how you can get access to this information.

Download
Care of a <br/>Minor Waiver

Care of a
Minor Waiver

Please download, print and complete before bringing it to your first New West Physicians appointment.

Download
Parental pre-authorization for Medical Care

Parental pre-authorization for Medical Care

For minors aged 16-18, a pre-authorization form can be submitted if care for these patients is desired without further parental consent.

Download
Pediatric Health<br/> Questionnaire

Pediatric Health
Questionnaire

Please make sure we have your child’s immunization record. Bring a copy to your child’s next visit or fill out a release form in the office today.

Download
Transfer of <br/>Medical Records

Transfer of
Medical Records

This form is needed to facilitate the transfer of medical records from your previous provider to the team at New West Physicians.

Download
Musculoskeletal Injury Questionnaire

Musculoskeletal Injury Questionnaire

This form provides a fact-find for musculoskeletal injuries which will be helpful to our care team upon arrival.

Download

Have Any Questions? Please contact us here

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