• Medical History Form

    PRINT FORM

    *Required for New Patients scheduled to see Dr. Howard

  • Patient Information Form

    Patient Information Form

    PRINT FORM

    *Required for New Patients scheduled to see Dr. Howard

  • Authorization to Release Medical History to a Third Party

    Authorization to Release Medical History to a Third Party

    PRINT FORM

    *Required to release your Medical Records

  • The Body Garage Medical Spa New Patient Information & Medical History Forms

    PRINT FORMS

    *Required for New Patients scheduled to visit the Body Garage Medical Spa

To save some time, print required form above and fill out before your appointment.

Completed forms may be emailed or faxed prior to your appointment.

Email: office@richardhowardmd.com

Fax: (605) 334 - 0926