New Patient Forms

For your convenience, you may complete forms online or download, print, and bring the completed forms to your first appointment. We recommend using a laptop or desktop to complete online forms.

The following new patient forms are for all patients except for those seeing OHC breast surgeons (Dr. Nicole Melchior and Dr. Abigail Tremelling):

• New Patient Medical Information Form
• Patient Medication List Form

If you prefer to download your forms, click on the links below:

• New Patient Medical Information Form
• Patient Medication List Form

The following new patient forms are for first-time patients of OHC breast surgeons, Dr. Nicole Melchior and Dr. Abigail Tremelling:

• Breast Surgical Oncology Female New Patient Intake Form
• Breast Surgical Oncology Male New Patient Intake Form
• Patient Medication List Form

If you prefer to download your forms, click on the links below:

• Breast Surgical Oncology Female New Patient Intake Form
• Breast Surgical Oncology Male New Patient Intake Form
• Patient Medication List Form

Please read the following forms at your convenience. You are not required to bring these to your first appointment.

• OHC Financial Policy
• Your Information. Your Rights. Your Responsibilities.
• Discrimination is Against the Law