Patient Forms

Midwest Chest Consultants Patient Forms

Thank you for selecting Midwest Chest Consultants for your pulmonary care and sleep medicine needs. To schedule an appointment, please call us at (636) 946-1650 or use our online appointment request form.

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office and we’ll be happy to help.

Downloadable Forms:

• New Patient Registration Form
• Health History Form
• Sleep Questionnaire Form
• Medical Records Release Form

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.