For your convenience, we have our new patient forms available to download for our office in Lexington, KY. To make your time with us as pleasant as possible, please take a moment to download your health history form, complete it and return to the office 2 days in advance of your first visit so that Dr. Chambers can review and be prepared for your first visit.
If you have questions or need assistance, feel free to contact our office.
Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit” . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.