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UCF Pegasus Health New Patient Forms Text Size  -+

After you have scheduled your first appointment, please print and complete the following New Patient Forms and bring them with you to your first visit. By printing the forms and filling them out before your arrive at the health center, you’ll save time. If you have any questions, please contact us directly.

Patient Forms – Select from the list below:

Please download the following patient forms from the list below and bring them with you to your first appointment.

Patient Health Questionnaire

Patient Registration Form

Consent and Authorization

Financial Policy

Authorization to Use and Disclose Health Information

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Patient’s Bill of Rights & Responsibilities

Copyright © 2011 UCF Pegasus Health | Last Update: September 5, 2012