PATIENT INTAKE FORMS

New patients can conveniently access and complete Premier Total Healthcare's intake forms before their scheduled appointment, saving time and reducing paperwork during their visit.

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Please select the appropriate intake form from the tabs below based on the services you are receiving or interested in. Once completed, you may email your forms to premier@mypthc.com or print them and bring them to your appointment.

 

If you have any questions or need assistance completing your forms, please contact our office at 954-456-0250.

Our team will be happy to assist you.