Instructions for Filling Out Forms
Lakewood Patient Forms:

• Registration Packet
• Medical History Form
• Adult History Form
• Children and Adolescent History Form
• Release Form
• HIPAA Notice Form

Couples Therapy: Registration Packet to be filled out by each party:

• Registration Form

Dr. Crutchfield Patient Forms:

• Registration Packet for Dr. Crutchfield
• Medical History Form

Bariatric Patient Forms:

• Bariatric Patient Registration Form
• Medical History Form

Pain Patient Forms:

• Registration Form
• Pain Questionnaires
• Medical History Form

All forms for The Lakewood Group are in PDF format.