Patient Forms
Please take a moment to review and complete the below forms before your first visit.
“Thank you so much for everything. Dr. Sample and Dr. Burfoot, thank you for being so kind and making this a wonderful experience for me. I cannot thank you enough for bringing my son safely into this world. He is so amazing.”
“I am so thankful to the Lord for leading me to you. You have been such a joy to see these past months. What an important job you have and you do it with such grace. I will always remember that you delivered my son and what a wonderful experience it was.”
“Thank you so much for bringing our little girl into the world. I know I was a handful and I thank you for putting up with me every step of the way. I thank God for blessing you, and helping you to continue to do good work.”
“We cannot begin to express our appreciation for all of your efforts throughout our pregnancy. You were there every step of the way, no matter how silly the question or how major the moment. You're all such a fabulous team and we are very blessed to have you as our medical practitioners.”
“Thank you for everything you have done for me. You have been truly amazing. You are the most patient doctor I have ever had and I appreciate knowing that you were there for me. It sure is a wonderful feeling knowing how comfortable I feel with my doctor. Thanks again.”
“Thank you so much for the care and attention you gave me and my baby over the past 9 months. It's hard to find good doctors and staff, so it was such a blessing to find all of you. Thanks for all that you did to provide for the both of us.”