Resources for Patients

This page contains several links to printable and fillable patient forms as well as Scott & White information and education pages. The forms may be useful to fill out at home before coming in for an appointment and require Adobe Acrobat Reader to view.

Patient Forms

Outpatient History Review of Systems (pdf)

Print a copy of this form, fill it out at home and bring to the clinic or your annual check-up.

New Patient Health History (pdf)

New patients or current patients wanting to update personal information, print a copy of this form, fill it out at home and bring to your doctor's appointment.

Medication Card (pdf)

Always carry a medication card with a current list of medications. Print this card and fill in all medications taken using the name, dose and how often taken. Always keep a copy at all times. Share it with your doctor to make sure your lists match.

Patient Services and Education

Adult Preventive Care Guidelines (pdf)

Prescription Refills

Support Groups

Health News Topics

Financial Services

Child Preventive Care Guidelines (pdf)

Sex Education Program

Pastoral Services

Accepted Insurance Plans

Additional Scott & White Information

Become a Volunteer

Blood Donor Center

Visitors Guide to the Temple Campus

Home Health Care 

Scott & White Regional Locations

Children's Miracle Network

Bone Marrow Donor Program

Alphabetical Index of Scott & White

Departments

Hospice Care 

Poison Control

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