APG Patient Forms
If you prefer to download the forms we need for your first visit they are available below. Please note that all forms are in PDF format and require the free Adobe Acrobat Reader application or browser plugin to view. If you’re using a PC, right-click on the document title below and choose “Save Link As” and download, print. and complete each document. (If you’re using a Mac, right-click (or Control plus click) on a document and choose “Save Link As”.) And, that’s it. We’ll see you at your appointment.
If you have any questions, please contact our Billing Department:
Manager: (618) 628-8211 ext. 1100
Statement questions: (618) 628-8211 ext. 1102
Pain Management & Physical Therapy Forms:
All Forms Combined - If you need all of the forms listed, simply download this combined PDF that has all the documentation necessary for new patients.
Notice of Privacy Practice - Please keep for your records.
Primary Care Forms:
All Forms Combined - If you need all of the forms listed, simply download this combined PDF that has all the documentation necessary for new patients.
Notice of Privacy Policy - Please keep for your records.