New Patient Forms
FIDEL INTEGRATED MEDICAL SOLUTIONS offers our patient form(s) online so
they can be completed it in the convenience of your own home or office.
- If you do not already have Adobe Reader® installed on your computer,
Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your
(1) New Patient Health History Form – Required
This lets us know the history and current state of your health. What questions,
concerns, goals, regarding wellness can we help you with? Let us know!
(2) Neck and Low Back Questionnaires – Required
This lets us know the current state of disability due to your neck and/or
low back pain.
(3) Motor Vehicle Accident Form
This form can be printed out and filled out prior to coming in so you don’t
have to wait and possibly forget any important details about the accident.