top of page

FORMS

You can fill out the form on the computer and either print it and bring it with you to your appointment or you can submit the forms online by clicking here. Either option will save you valuable time when you arrive for your initial consultation.


We also request you bring relevant medical records and your billing information at the time of your appointment. Thank you.

​

If you would like to view our office policies & privacy procedures please click here.

NEW PATIENT: GENERAL SURGERY

Please fill out these forms and make sure to bring them along with your insurance card(s) and a picture ID.

NEW PATIENT: BARIATRIC/WEIGHT LOSS SURGERY

Please fill out these forms and make sure to bring them along with your insurance card(s) and a picture ID.

NEW PATIENT: ER FOLLOW UP

If Dr. Searles saw you in the ER/Hospital and you've not been to our office yet, please fill out these forms and make sure to bring them along with your insurance card(s) and a picture ID.

TELEMEDICINE CONSENT FORM

If you are interested in a telemedicine/video appointment with Dr. Searles please fill out this form in addition to the intake packet; new patient or annual update; below.

ANNUAL UPDATE

If it's been longer than 6 months since we last saw you, please fill out these forms and make sure to bring them along with your insurance card(s) and a picture ID.

RELEASE OF INFORMATION TO DR. SEARLES

If there are records we need to request from a provider please fill out this form.

RELEASE OF INFORMATION FROM DR. SEARLES

If there are records you or your provider want to request from us please fill out this form.

bottom of page