Forms

Download Forms

Thank you for choosing Northside Thoracic Surgery. For your convenience, we offer downloadable forms for you to complete prior to your appointment with us.

New Patients

Please download and complete BOTH the Registration Form and the New Patient Medical History/Intake Form below and bring them with you to your first appointment.

Additionally, please bring the following items to your first appointment:

  • Insurance card
  • Photo ID
  • Physician referral form (if applicable)

If you are unable or need assistance with the forms, we ask that you please arrive at our office 30 minutes prior to your scheduled appointment time.

Existing Patients

If this is your first visit in a new calendar year, or if there has been a change to your address or insurance, complete the forms by clicking the button below and bring them to your next appointment so that we may update your records accordingly.

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Call our office to make an appointment or to refer a patient. Contact Us