Alliance Medical Center

:: Home :: Contact us :: Feedback :: Site Map

Forms

All New Private Patients

Please download and complete the following forms prior to your appointment:

PATIENT INFORMATION FORM

CURRENT COMPLAINT FORM

HIPAA CONSENT FORM

Health News

How Quick Getaways Bring Stress Relief...

Taking a short trip can have the same stress-busting effects as a longer one. Here are some tips to get the most out of your escape.

Good news for people with demanding lives (or too little vacation time): Taking a short trip, such as on Memorial Day weekend, can have the same stress-busting effects as a much longer one. You shift to a more relaxed mind-set in the first few days, says Stanford University psychiatrist David Spiegel. To get the most out of a trip, plan well:

Stay close
If you live in Arizona, don't go to New York; you'll be in transit all weekend. Better: a quick jaunt to Vegas.
Hit the beach?
It's off-season, which means no stress-inducing crowds. Take walks along the shore, browse antique shops and eat seafood.
Pamper yourself.
Splurge on a top-notch hotel. Explore the city, get relaxing spa treatments, and sleep in. You'll come home with a new perspective.

Please download, print and complete the appropriate form(s)

and bring the completed form with you. Make sure popup

blocking is turned off, or hold the "ctrl" key down when

clicking on the download button.

	Authorization for Treatment

	Company Profile

	Current Complaint Form

	Drug Screen Consent (Spanish)

	Forsyth County Drug Test Release Form

	HIPAA Consent Form

	Insurance Company List

	Medical History (English/Spanish)

	OSHA, Respirator Questionnaire

	Patient Information

	Treatment Authorization (Spanish)