Essential Family Medicine
At Essential Family Medicine, It's All About You!
Dr. Elise Wong
Dr. Shawnte Yates
Dr. Molly Thelisdort
New Patient Forms
Your First Visit
Please click on the link below for adult first time visits and bring completed forms to your visit.
New Patient Packet
Well Woman History Form
Please click on the following links for pediatric first time visits and bring the completed forms with you to your visit.
Pediatric Intake Birth-5 years old
Pediaric Intake 6-12 years old
Please click the following link for a release of records form. This form allows us to request your previous medical records from another provider or clinic.
Request for records form