New Patients

• New Patient Registration Form
• Notice of HIPPA Privacy Practices
• Release of Information TO Deer Park Family Doctors FROM Others
• Permission to use Email to Communicate with Patients

You may fill out these documents prior to your visit to save time.  We need the complete set of documents on file for you to be seen.

I you have trouble with these documents, you may need Adobe Reader

Pediatrics

• Children's Power of Attorney giving formal permission for others to make on-going medical decisions for your children
• Minor Consent to Treat for use when parents are temporarily out of town

All Patients

• Kentucky Living Will Directive: This is a Living Will template for patients desiring to make an advanced directive
• Genogram: This is a template allowing the patient and doctor to organize your family medical history in a 'tree' form
• Deer Park Family Doctor's Viral URI Prescription: strategies to treat your Cold & Flu symptoms while your body cures itself