Please Download and Complete the Following Form utilizing the format you feel most comfortable with:


"This is the first step to you giving us the opportunity to help you..."
MICROSOFT EXCEL FILE
Below;  there is an EXCEL icon labeled:  "Dr. Dupree Patient Information".  If you have MICROSOFT EXCEL software on your computer, there are TWO ways to utilize the file once it has been downloaded:

1)     RECOMMENDED:  Open the spreadsheet, and populate all of the
         information requested in the spreadsheet utilizing your computer.
         Save the 'completed' spreadsheet to your computer's hard drive.
          a)     Attach the spreadsheet to an email and send it to our office at:
                  Office@DrDavidDupree.com
          b)     Print your populated spreadsheet and bring it with you to your first
                  office visit.

2)     Open the spreadsheet, PRINT the spreadsheet in incomplete state.   
         Fill in the requested information by hand, with a pen.
          a)     Bring the completed spreadsheet with you to your first office visit.    
PDF FILE FORMAT
Below;  there is a PDF File icon labeled:  "Dr. Dupree Patient Information".  If your computer is not equipped with EXCEL software, you can use this file to provide your data to our office:

1)     Open the PDF File, PRINT the form.   
         Fill in the requested information by hand, with a pen.
          a)     Bring the completed form with you to your first office visit.
                   (8 Pages)