Forms

Conifer Medical Center Online Resources

Administrative Forms
Patient Information Sheet
HIPAA privacy policy acknowledgement
Request for a copy of your medical records

Annual Exam Forms

Annual Exam-Female
Annual Exam-Male
Depression Screening
Urinary Symptoms-Male
Berlin Sleep Questionnaire(snoring)
Eppworth Sleepiness Scale(sleepiness)
Sports Physical

Child Development Forms -bring to your well child check

2 months
4 months
6 months
8 months
10 months
12 months
14 months
16 months
18 months
20 months
22 months
24 months
27 months
30 months
33 months
36 months
42 months
48 months
54 months
60 months

Services-Patient Web Portal

1) Request medicine refills, referrals, routine appointments
2) View current appointments
3) Print immunization records
4) Change your demographic information
5) Enter medical/surgical history
6) Communicate via email with our office
7) View recent lab results, diagnostic imaging results, and statements

Come in to our office for your login and password today!
>Patient Portal Link<