Patient Resources

New Patient Information & Forms

Before your first appointment, please download and complete the new patient paperwork. Bringing completed forms helps the office review your information more efficiently and keeps your visit moving smoothly.

1 Download the Packet

Click the button above to download the Ward Dean, M.D. new patient paperwork PDF.

2 Complete Before Your Visit

Fill out the patient information, medical history, medications, allergies, and consent forms.

3 Bring It With You

Bring the completed packet to your appointment or contact the office with questions.

What’s Included in the Packet?

The new patient paperwork includes registration information, medical and social history, medications and allergies, symptom checklists, HIPAA consent, Medicare opt-out paperwork, and a medical history questionnaire.

Patient registration and emergency contact information
Medical, surgical, family, and social history
Current medications, supplements, and allergies
Hypothyroidism and medical history symptom checklists
HIPAA consent and Medicare opt-out agreement

New Patient Paperwork

Download, print, and complete your forms before your first visit.

Questions?
Call the office at (850) 912-6981.

Need Help Before Your Appointment?

Our office is available Monday through Thursday, 9:00 AM – 3:00 PM. Call with questions about scheduling, paperwork, or what to bring to your first visit.