Our patients are required to provide basic health history information during the appointment. We have a printable form if you would like to fill out before you come to Lovejoy. This usually saves time and is recommended.

All patient information is strictly confidential and we never share patient information with anyone outside Lovejoy Surgicenter. We are committed to protecting your privacy during this time.

The form below requires Acrobat reader. If you don't have Acrobat Reader, click the link below and follow the instructions then come back and click on the "Patient Health History Form" link and print it out. This form consists of two pages.