Forms

 

Hilltop Current Patient History Update Form

Hilltop New Patient History Form-2021 (must complete prior to first new patient appointment)

Hilltop New Patient Contract – Dr Darwish – 2021 (must review and sign prior to first new patient appointment)

Please read the attached Telehealth Memo (VSee) or ask your Hilltop Pod.

Consent for Electronic Communications (Cell, Email, VSee, Accession)

Appendix for Electronic Communications (Must read prior to signing consent)

Brockman Contract & New Patient History Forms (must complete prior to first new patient appointment)

Flu Clinic – Consent Form 2020 (must print and complete for each patient, please bring to the flu clinic).