Patient Forms at Advanced Oncology Clinics
To ensure a smooth and efficient experience during your first visit to Advanced Oncology Clinics, we have made all necessary patient forms available for download. Completing these forms ahead of time will help us understand your medical history and current condition, allowing our team to focus on providing you with the best possible care from the moment you arrive.
Why Completing Your Forms in Advance is Important
Filling out your patient forms before your visit offers several benefits:
Saves Time During Your Visit:
Completing the forms in advance reduces the amount of paperwork you’ll need to handle on the day of your appointment, allowing more time for your consultation and care.
Ensures Accurate Information:
Taking the time to fill out the forms at home ensures that you can provide detailed and accurate information about your medical history, medications, and any concerns you may have.
Improves Communication:
With your forms completed, our team can review your information before your visit, ensuring that your consultation is as thorough and productive as possible.
Streamlines the Check-In Process:
When you arrive at the clinic, your check-in process will be quicker and more efficient, helping you to feel more at ease as you begin your care journey.
Forms fields:
New Patient Registration Form:
- Name (Short answer)
- Date of Birth (Date)
- Address (Paragraph)
- Phone Number (Short answer)
- Email Address (Short answer)
- Primary Care Physician’s Name (Short answer)
- Insurance Provider (Short answer)
Medical History Form:
- Past Surgeries (Paragraph)
- Current Medications (Paragraph)
- Known Allergies (Paragraph)
- Chronic Conditions (Checkboxes or Paragraph)
Consent to Treatment Form:
- Full Name (Short answer)
- Date (Date)
- Consent Statement (Paragraph or Multiple Choice with “I Agree” as an option)
Authorization to Release Medical Records Form:
- Full Name (Short answer)
- Date (Date)
- Authorization Statement (Paragraph or Multiple Choice with “I Agree” as an option)
- Previous Healthcare Provider (Short answer)
- Provider’s Contact Information (Short answer)
Insurance Information Form:
- Insurance Provider Name (Short answer)
- Policy Number (Short answer)
- Group Number (Short answer)
- Policyholder’s Name (Short answer)
- Policyholder’s Name (Short answer)
- Contact Information for Insurance Provider (Short answer)
Downloadable Patient Forms
Below are the essential forms you may need to complete before your visit to Advanced Oncology Clinics. Please download, print, and fill out the forms that apply to your situation.
1. New Patient Registration Form
This form gathers essential information about your personal and medical history, including contact details, insurance information, and your primary care physician’s information.
Download New Patient Registration Form
2. Medical History Form
The Medical History Form is critical for helping our team understand your health background, including past surgeries, chronic conditions, allergies, and current medications.
Download Medical History Form
3. Consent to Treatment Form
This form provides your consent for the treatments and procedures that may be recommended as part of your care plan. It is essential for ensuring that you are fully informed and comfortable with your treatment options.
Download Consent to Treatment Form
4. Authorization to Release Medical Records Form
If you need to transfer medical records from another healthcare provider, this form authorizes the release of your medical records to Advanced Oncology Clinics.
Download Authorization to Release Medical Records Form
5. Insurance Information Form
This form allows us to process your insurance claims and understand your coverage. Accurate insurance information helps us provide you with a clear understanding of any costs associated with your care.
Download Insurance Information Form
How to Submit Your Completed Forms
Once you have completed your forms, you can submit them in the following ways:
1. Fill Online form
You can fill the form on AOC’s website to submit the details with us. Our representative will get back to you for the follow-up for further Assistance.
By Email
You can scan and email your completed forms to our administrative team at we.care@advancedoncologyclinics.com. Please ensure that the scanned documents are clear and legible.
Frequently Asked Questions About Patient Forms
FAQs for Submitting Patient Forms at Advanced Oncology Clinics:
The forms you need to complete depend on your specific situation. If you’re unsure which forms apply to you, please contact our administrative team for guidance.
Yes, you can complete the forms at the clinic, but we recommend doing so in advance to save time and ensure you provide accurate information.
If you encounter any issues downloading or filling out the forms, please contact our administrative team, and we’ll assist you.
Your information will be used to provide you with the best possible care and to coordinate with your insurance provider. We handle all personal information in accordance with privacy regulations.
If there are changes to your information, such as a new medication or a change in insurance, please inform us as soon as possible. You can update your information by contacting our clinic directly.
If you submit your forms by email or mail, we will confirm receipt. If you do not receive confirmation, please contact us to ensure your forms were received.
Yes, a family member or caregiver can submit the forms on your behalf, as long as all necessary signatures are provided.
We offer patient forms in several languages to accommodate our diverse patient population. Please contact us to request forms in your preferred language.
If you need assistance, our administrative team is available to help you complete the forms either in person or over the phone.
You can contact us online or call our clinic directly with any additional questions.
