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 can fill out the forms directly on your computer, tablet, or phone. Once you are done, you can print out the forms or securely email them to