Please Note! For your convenience, we would request that you complete the secure online patient history questionnaire instead of downloading the adult or child new patient forms below. These forms are provided here as an alternative if you are unable to complete the online form. If you do use the online form, you may wish to download the office policies and release of information files for your records.
IHG Fax Referral Brochure.pdf
Download this form to fax a referral to IHG
Disability Questionnaire.pdf
Complete this form if you are applying for disability benefits, FMLA leave, or some other medical release.
Adult New Patient Form.pdf
For Adult New Patients (includes Insurance info, office policies, and release of info)
Child and Adol New Patient.pdf
For new patients under the age of 18 (includes Insurance info, office policies, and release of info)
Insurance Information.pdf
Complete this form to provide your insurance information
Office Policies.pdf
IHG Office Policies and Procedures
Releases of Information.pdf
Complete these forms to authorize IHG to release information to someone you specify
HIPAA Notice.pdf
Patient privacy information
Daily Symptom Rating Scale.pdf
List your top symptoms, rate them over time and bring this to your next appointment
IHG Contact Info.vcf
vCard - download and click on this file to add IHG to your contact manager