Patient Forms

Salience Health is ready to surround you with a dedicated care team committed to your health and happiness. We partner with Simple Interact, a completely secure and comprehensive forms service. Patients are required to complete and submit the applicable forms below prior to the scheduled appointment time, or the appointment may be rescheduled.



Before your first visit, you will receive a New Patient Forms Request after booking your New Patient appt. Please complete these forms as soon as possible.* We can start prepping your chart ahead of time to make your visit as smooth as possible.

If you are a returning patient, you will receive a Follow-Up Request. Please complete this as soon as possible as this is mandatory.* We can start prepping your chart ahead of time to make your visit as smooth as possible.

These forms must be completed online. Completed forms are submitted electronically and privately to your doctor. Please read all the requirements above before you begin.

What items will need to bring with you?

  1. Driver's License or Photo ID
  2. Insurance Card

* If you have not received the forms, make sure that you have an appointment booked. Please call one of our clinic locations today or use our appointment request link to request your appointment today.

* If you do have an appointment booked, but have not received the forms request, please call one of our clinic locations today. Please help us make your experience as efficient as possible!


Simple Interact is a mobile-friendly front office automation platform that provides patients with easy access to forms, delivered directly to your device. You can complete your forms anytime and anywhere at your convenience.

Q: Why am I getting an email/text to complete forms?

A: Through Simple Interact, we have automated what information we need from you and when, so that you never have to complete unnecessary forms. We only ask for what we need when we need it.

Q: I do not like giving my personal info digitally. How can I be sure that it is secure?

A: Simple Interact is 100% compliant with HIPAA law and regulations. You can be sure that every page, every answer is seen only by your provider and the necessary medical support staff.

Q: I am not a new patient, so why am I getting a request to complete forms?

A: The request you received from Simple Interact is a Follow-Up Request. This is mandatory to be seen. By completing this ahead of your appt, you are greatly reducing your check in process for your appt. Give your future self a break!

Q: Do I have to download an app or manage yet another portal username and password?

A: For the Simple Interact forms, the link is securely delivered to your device. You only need to go through a simple authentication process and you will have access to your forms.

Q: English is not my preferred language. Do you have translations of the forms?

A: Excepting the legal forms, all forms have a language setting in the upper left corner to make the language more convenient for you.