New Patient Package:
Save time at the office by printing and completing the paperwork before your visit. Includes new patient registration form, health history questionnaire, and HIPAA form (privacy protection).  

New Patient Registration Form:
Register as a new patient before coming to the office by completing this form.   This form can be completed online but must be printed and signed.

Would you like Dr Hornbake to review your record of previous treatments? This form can be printed, signed and mailed before your visit to the office:
Transferring Records TO Dr Hornbake FROM another physician  This form can be completed online but must be printed and signed.

Moving from the area or just spending the winter in a warm spot? Need records sent to another physician? Simply print and complete this form then mail or FAX it to 767-0021:
Transferring Records FROM Dr Hornbake TO another physician

If you are a new patient or have a complicated problem that needs extra attention consider saving time by filling out this form before your visit:
Health History Questionnaire   This form can be completed online and sent as an email attachment to DrHornbake@comcast.net or printed and brought, faxed or mailed to the office.

Wondering what is now recommended for adult preventive services? (Immunizations and screening tests)  Recommendations for Preventive Services

Want to keep track of screening tests and immunizations?
Personal Record of Preventive Services

Logbook for Insulin dosing