New Patient Forms

When you arrive at your University of Toledo Physicians’ facility, please stop at the registration desk to check-in. When checking in with the registration specialist, please give your name, the physician’s name, and your appointment time with whom you have the appointment. Please have your insurance card and photo identification to expedite the check-in process.

Below, patients can find the new patient forms that need completed before, or the day of, the first appointment. You may attach a scan or a legible digital picture of the completed forms. If our patients prefer to print out their forms and bring them to their appointment, they can do so as well. Patients can download and complete the forms in an easy fillable format and email them to our Patient Access Center at All forms must be downloaded to be submitted.