Tommi Orchards by PVII

patient forms

Please print and fill out the following form and bring it with you to the first visit. This will help save time in the reception area and will allow you to refer to medical records you have at home

  • Medical History
  • Informed Consent - Please read this form carefully, note any questions you have and bring them with you to your appointment. Dr. Schlansker will review everything on this form with you before you sign it.
The forms are in Adobe pdf format.  You will need the Adobe Acrobat Reader installed on your computer to be able to open the file.  The Reader is available at no charge here.