Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

 

New Patient Registration Form

Patient Health History Form

Notice of Privacy Practices Form

Acknowledgement of Receipt of Privacy Practices Form

Post Operative Instructions

  LANAP Post-Op Form
   
   
   
   


Our Office
Dr. Leigh W. Kent
2045 Brookwood Medical Center Dr., #26
Birmingham, AL 35209
Contact Us

New Patients: (205)-255-3811 
Current Patients: (205)-870-8341