Partners in Health Family Medicine
Partners in Health Family Medicine
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    • Home
    • About Us
    • Contact Us
    • Forms
    • Patient Portal
    • Policies and Other Inform
    • Aesthetic Services
      • Skin Resurfacing
  • Home
  • About Us
  • Contact Us
  • Forms
  • Patient Portal
  • Policies and Other Inform
  • Aesthetic Services
    • Skin Resurfacing

PIH Family Medicine Forms

Please download, print, and complete the new patient forms. Bring them along with your medications, insurance card(s) and ID to your first office visit.

New Patient Form 2024 (pdf)Download
Medical Record Request/Obtain Form (pdf)Download

Counseling Forms

Please download, print, and complete the forms below prior to your counseling session. 

PARTNERS IN HEALTH FAMILY MEDICINE BIBLICAL COUNSELING CONSENT FORM AND AGREEMENT (pdf)Download
BIBLICAL COUNSELING PDI (pdf)Download

PDF Viewer

Download Adobe PDF Viewer from link below

https://get.adobe.com/reader/?promoid=KSWLH

  • Patient Portal

Partners in Health Family Medicine, PLLC

7216 Copperfield Drive, Montgomery, Alabama 36117, United States

(334) 244-1359

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