New Patient Forms for Dr Prodromos
If you are interested in filling out your paperwork early, please download each one of these forms to bring with you to your first visit. This will minimize your wait time.
If you are a current patient and have significant changes in you medical history, address and/or insurance, please print out a new form and complete with the updated information.
Patient Registration Form
Includes information on your address, contact information and insurance.
To download and print this form, please click here.
To print this form in Spanish (forma en Espanol) click here.
HIPPA Consent Form
To download and print this form, please click here.
To print this form in Spanish (forma en Espanol) click here.
A copy of our privacy statement is also available.
Medical History Form
Includes information on medical problems, previous surgeries and medication use.
To download and print this form, please click here.
To print this form in Spanish (forma en Espanol) click here.