Patient Forms

You can now fill out your pre-visit forms online! Just click the link below to be taken the Patient Portal of Dr. Jeffers. If you have already created an account, log in and you fill find the forms listed under questionnaires.

If you are a new patient and you would like to create a new Patient Portal account, you can do so from the same page. Look for the button on the bottom right to create an account.

If you would prefer to download and print the forms, there is a link for that as well. Just click on the link and download the forms. You will need a PDF reader. Once you have filled them out, bring them with you to your appointment. Unfortunately, we do not have the ability yet for you to upload your forms electronically.