Downloads

Please Download the Patient Registration Forms and email them back to us with a copy of your Driver's License and Insurance Cards, if any.

We will need these before we can meet.

Please email them to WHammesfahrMD.online

On this page you will find Registration materials for Patients who have or may have been exposed to Covid, as well as our forms for all other patients.

All patients need to fill out the NP registration Packet.  We also have two additional packets, one for those with Memory problems, and one for those dealing with Covid issues.  If you are dealing with either of those issues, please fill out the additional packets.  They are WORD documents, so you can either print them out, then scan and return them, or you can fill them out on your computer and return them. Please include a copy of your photo ID or Driver's license and insurance cards if you have insurance.

We look forward to meeting you.

The Staff