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.
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 to Bring Minor
- Authorization to Use or Disclosure PHI
- Adult Patient Registration Form
- Child Registration Form for Entire Family
- Child Patient Registration Form
- HIPAA Acknowledgement Form
- HIPAA Acknowledgement Form (Pediatrics)
- MyChart - Adult Proxy Authorization
- MyChart - Child Proxy Authorization
- MyChart - Minor Proxy Authorization
- Notice of Privacy Practices
- Newborn Insurance Reminder
- Request to Copy Protected Health Information
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.