New Patient Forms

Advanced Surgeons, P.C.
860 Montclair Road - Suite 600
Birmingham, Alabama 35213
(205) 595-8985
FAX (205) 595-8987

Toll Free: 1-800-308-8521

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Advanced Surgeons, P.C.
2401 15th Ave. North.
Birmingham, Alabama 35234
(205) 502-4000
FAX (205) 502-4005

Toll Free: 1-800-308-8521

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New Patient Forms

Please click on the links provided below to open copies of our Patient Information and Patient Medical History forms.

PRINT FORMS: These forms may be completed and printed prior to your appointment at Advanced Surgeons, P.C. Please remember to bring the completed forms on your first visit.

ONLINE FORMS: These forms may be completed online and submitted to Advanced Surgeons P.C. via email. After completing the form click the submit button and follow the instructions.

You must have Adobe Reader 8 installed to complete the forms and submit them online. GET ADOBE READER 8

Print Forms	Online Forms
Patient Registration Form Patient Medical History Form	Patient Registration Form Patient Medical History Form

Internet Resources

American Obesity Association