New Patient Packet
Please download and complete our New Patient Packet before your first visit. It includes your patient rights and responsibilities, safety information, medical and family history, patient education, and the acknowledgment and consent forms. Completing it ahead of time lets our team review your information in advance, so your visit stays focused on you and your care.
Important — please download the packet before filling it out. Save the file to your device first, then open it in a PDF reader such as Adobe Acrobat Reader (free). Filling it out directly in your web browser may not save your answers.
Once complete, save the form and email it to melissasells@emmausmc.com.