We are excited that you have chosen Primary Care Partners for your medical care! Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.
Patient Forms
The following documents and forms can be downloaded to your computer and printed out. By completing the forms ahead of time, you can save a significant amount of time during your visit. Please bring the filled in and signed forms, along with your current insurance card, to the physician's office at the time of your initial visit.
- Authorization for Release of Information
- Authorization for Release of Information - Spanish
- Authorization to Bring Minor
- Authorization to Bring Minor - Spanish
- Adult Patient Registration Form
- Adult Patient Registration Form - Spanish
- Child Patient Registration Form
- Child Patient Registration Form - Spanish
- Consent for Email Communication
- MyChart - Adult Proxy Authorization
- MyChart - Child Proxy Authorization
- MyChart - Minor Proxy Authorization
- Newborn Insurance Reminder
- Newborn Insurance Reminder - Spanish
- Notice of Privacy Practices
- Notice of Privacy Practices - Spanish
- Nutrition Counseling Intake Questionnaire
- Patient Family Contact List
- Patient Family Contact List - Spanish
- Patient Demographics
- Patient Demographics - Spanish
In order to view or print these forms you will need Adobe Acrobat Reader
installed.
Click here to download it.