Patient Forms

New Patient Paperwork

If you are a new AFOC patient, please print and complete the New Patient Paperwork. Bring it with you to your first appointment.

Release of Information Form

If you are an established patient and want to request a copy of your records or give AFOC permission to release your records to another party, please print and complete the Release of Information Form. You may submit the form in either of these ways:

  1. Fax it to (833) 464-5196.
  2. Print the form, complete it, and drop it by one of our locations.