Patients Forms

Please complete ALL of the required patient forms below prior to your scheduled appointment. All forms must be submitted before your visit.

Printable Forms

PATIENT FORM

HIPAA PRIVACY NOTICE

OFFICE/PATIENT POLICIES

If you are using the printable form, please email it back to all 3 following emails: office.ssmd@gmail.com, vishalpatel@ifedora.com, mohansinghtiruwakami@ifedora.com

Online eForms

PATIENT INTAKE FORM

HIPPA PRIVACY NOTICE

EPWORTH SLEEPINESS SCALE

Medical/Medication History

COVID-19 SCREENING

COVID -19

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