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Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

New Patient Forms Patient Information Form Patient History Form Authorization to Disclose Health Information to Family Members Acknowledgement of Receipt of Notice of Privacy Practices Other Forms Notice of Privacy Practices Authorization to Disclose Health Information

If you cannot access the forms you can click on the icon to download the software.

Please mail or fax your completed forms to:

SVO Patient Information
2700 10th Avenue South, Suite 200
Birmingham, Alabama 35205

Fax: 205-933-0951

To ensure prompt service, we also recommend you bring a copy of your completed paperwork with you to your first appointment, in case your mailing does not arrive prior to your appointment.