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.
• Adult Patient Registration Form
• Child/Dependent Registration Form
•Patient Portal Sign Up Form
•Newborn Insurance Reminder
• Patient/HIPAA Acknowledgement Form
•Notice of Privacy Practices
• Practice Philosophy
• Payment Policy
• Signature On File Form
•Authorization to Bring Minor
•Portal Proxy Consent
•Request to Copy Protected Health Information
•Self Pay Acknowledgement

To help you better understand your Primary Care Partners, LLC statement, please download the PCP Billing Statement Guide.
• PCP Billing Statement Guide
Please Note: The PDF documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader please click here for a Free Download. Get Adobe Reader