Patient Forms
Save time at your visit by completing your forms before you arrive.
At Opsam Health Center, we want your visit to be as smooth as possible. You can download, print, and complete the forms on this page before your appointment. This gives you more time with your care team and less time in the waiting room. If you are unable to print your forms, please arrive 15 minutes early and our front desk staff will be happy to help you complete them.
New Patient Forms
If this is your first visit with us, please complete the new patient forms below. They help our team understand your health history, insurance information, and how best to care for you. Please bring your completed forms, along with your insurance card and a photo ID, to your first appointment.
Adult Patient Forms
English | Spanish | Tagalog | Russian | Vietnamese
Behavioral Health Forms
English | Spanish | Tagalog | Russian | Vietnamese
Returning Your Forms
You can bring your completed forms to your appointment or drop them off at the front desk of any Opsam Health Center location.
Need Help?
If you have questions about which forms you need or need help completing them, please contact us today. Call 844-200-2426 and our team will be happy to help.
Opsam is Available to Patients 24/7
If you are a registered patient and need assistance after our normal hours of service, please call (844) 200-2426. Opsam Health’s after-hours call system will connect you to a medical professional for assistance and guidance.
If you experience a life-threating medical emergency at any time day or night, please call 9-1-1
for emergency medical assistance.
