Internal Medicine PC, Dr. Jean Lorentzen, West Des Moines IA

 

 

If you are a new patient to Dr. Lorentzen's office, there are several forms that will need to be filled out so that the doctor has a complete understanding of your medical history. These forms include a Female Consult form for women, and a Male Consult form for

men.  Please check when you set up your appointment to see what forms you will need

to fill out ahead of time.  The forms can be accessed by the buttons listed below. 

 

If you are returning to our office for your annual check-up, you will need to fill out a follow-up consult form.  Again, these forms include a Female Consult form for women, and a Male Consult form for men. Please check when you set up your appointment to see what forms you will need to fill out you will need to fill out ahead of time.  

 

Forms