Intake Forms

Welcome to our intake form area. When you call for an appointment, Dr. Higginson will ask you to
visit this area of the site to fill out your intake forms.

We have two options to complete these forms:

  1. Fill them out online via our secure form system
  2. Download the form files (in PDF format), print them, and bring them to your first appointment

A few common questions about our online intake form system:

Can anyone view my information besides Dr. Higginson?

Dr. Higginson may designate an authorized employee to view your records. Otherwise, your information is protected by the Health Information Privacy Act (HIPAA), and it may not be viewed by anyone else without your express consent.

Is it possible that anyone else can view these forms after I fill them out?

These forms are protected with the same encryption used to guard against intruders into commercial retail web sites. We establish a standard secure internet connection between your computer and our server. This connection uses 128-bit encryption to protect your information as you transmit it to us.