Downloadable Forms

Forms you can download, print, and fill out before you arrive

Below is a list of patient forms and informational documents, which may be downloaded and printed from your computer. To download:

  1. Right-click (PC users) or Ctrl-click (Mac users) the link to the document.
  2. Select Save Target As or Save Link As and save the file to the desired location on your computer.

For PDF files, you must have Adobe Acrobat Reader installed on your computer. Download the free Acrobat Reader software here.

  • Fertility History (70.77 kb)
    Print this form if you are seeking fertility treatments.
  • Adult History & Consent (127.42 kb)
    Print and fill out this form if you are and adult or a teen 13 years old or older.
  • Prenatal Intake Form (139.31 kb)
    Fill this out if you are pregnant and coming to Dr. Thyr for all of your prenatal care, or if you are coming for conjunctive care.
  • Records Release (49.74 kb)
    Print and fax this in if you need your medical records sent to another healthcare professional.
  • Pediatric History and Consent (125.15 kb)
    Fill out this form and bring it to your initial office visit. This history form is appropriate for infants through early teens.
  • Detox Group Application (83.83 kb)
    Print this form if you are interested in joining one of the upcoming detox workshops. Bring it with you to the first class.