Necessary Documents

If you are a new or returning patient, please select the appropriate form listed below and bring it with you to your appointment.

SPMC HIPAA—Information—All patients must have a current HIPAA form at SPMC if you have not filled out a HIPAA form or your HIPAA form needs to be updated please print and bring with you on your next visit.

Internal Medicine:

Dr. Karen Maluf—new patient form

Family Practice:

Dr. Ian Thompson—new patient form

Dr. Mitch Coppedge—new patient form

Pediatrics:

Dr. James Freed—new patient form

Dr. Ronald Orr—new patient form

Surgery:

Dr. Linda Johnson—new patient form

Dr. Virginia Harr— use forms depending on visit type:

Breast form

Vein Injection form

Skin form

GYN:

Dr. Nancy Dever—new patient form