New Patient Forms
Recognizing the number of forms that need to be completed and the amount of time to complete these forms may be exhausting for you. Please complete the following forms before you initial physician visit. Having the opportunity to rest during or in between completing the forms will assist in making your experience with our office pleasant.
Also, please keep a log of your blood pressure and pulse for seven (7) days before your appointment day. For each day, we need a reading first thing in the morning while you're still lying down. Then take a second reading about 10 minutes after you've been up and moving around. Please do a third reading during the day if you have a "crash" period that same day. Remember to include both pulse and blood pressure. Please bring this information with you to the appointment.
- Initial Assessment/Patient History
- Karnofsky Scale
- Sleep Assessment
- Activity and Sleep Diaries
- Blood Pressure & Pulse Log
- Fatigue Scale
- Functional Scale
If you have any questions, please call us at (954) NSU-CARE/ (954) 678-2273 and one of our Patient Care Representatives will assist you.