B.Sc., M.D., F.R.C.S.(c)
Important Forms
Below is a list of important forms for you to read and download that have been provided by Dr. Gehman and his staff.
-
Downloadable Form
Medical History Questionnaire
Form - Dr. Gehman needs to know about your past medical history, medications, allergies, and family history in order to guide treatment for your new medical condition. This form must be completed at least one week prior to your upcoming appointment, unless otherwise indicated.
Download Now -
Downloadable Form
Consent for Release of Medical Information
Form - This form is used to list the names of family members or friends that Dr. Gehman can speak to on your behalf, if medically necessary.
Download Now -
Downloadable Form
Consent for Treatment
Form - This form gives Dr. Gehman and his staff permission to release your medical information when required to book diagnostic or treatment procedures. We cannot book these appointments for you without your agreement.
Download Now