• Forms

    A number of forms are available for download.

    New Patient Intake form

    If you are a new patient, please download, print and complete this form. Bring it with you to your first appointment. Download Intake Form.

    Diet Diary

    Completion of a Diet Diary helps provide a clear picture of dietary health. Download Diet Diary.

    Release of Records

    Download, print and complete this form to have your current medical charts transferred to Dr. Kotzur’s office. Download Medical Information Release Authorization.