Patient Resources
Forms
You can always obtain these forms when you arrive for your appointment, but completing them beforehand and bringing them with you can save you time in the waiting room. Or, you may email the forms to:
Indu, Dr. Ananth, Michelle, Helen, Maria
- ACR Patient History Form:
For new patients: to make your first visit quicker, please fill out this form prior to your appointment and bring it with you. For existing patients: if you have not seen Dr. Ananth in over one year, kindly fill out and bring your updated Patient History form to your next appointment.
Download (PDF)
- Patient Information Form:
Anytime you change your phone number, mailing address or insurance plan, make sure you inform us by filling this out prior to your visit.
Download (PDF)
- Patient Agreement/Signature Form:
We require all patients to review this agreement. Please read, initial and autograph this page and bring it to your next appointment. If you have any questions, or are not sure if you have signed this form already, give us a call.
Download (PDF)