New Patient Forms and Resources
Welcome to Affinia Healthcare!
We are pleased that you have chosen Affinia Healthcare as your health care home!
- We believe it is our role to listen to our patients carefully, to understand them first.
- Through an uncompromising compassion to provide exceptional care we are changing lives, one patient at a time.
- By connecting compassionate care and our vision of what tomorrow’s healthcare can become, we are redefining our future.
- Through the delivery of high-quality health care, we can ensure a balanced, healthy future, giving everyone access to reach their health potential.
Important Patient Forms
Medical History Form (Child)
Medical History Form (Adult)
Medical History Form (Child)
Spanish Version
Medical History Form (Adult)
Spanish Version
Dental Health History
Dental Mobile Unit Consent Form
Telehealth Consent Form
Spanish Version
Telehealth Consent Form
English Version
Our Locations
We provide trusted health services through highly qualified and dedicated professionals. Find the Affinia Healthcare location near you.