Evaluation forms
Adult New Patient Form (18 years or older)
Minor New Patient Form (under 18 years old OR has a conservator)
Records Request Forms
Fill out this form if you’d like EBPG to send your records to another physician or medical organization:
Fill out this form if you’d like EBPG to request your medical records from another physician or medical organization:
Consent Form for Adult Patients
Consent Form for Minor Patients