Patient Information

Online Printable Forms

Save time by completing any necessary forms before visiting the office. Simply click to view and print. Please visit PriMed Patient Guidelines for more information.

Registration Form Complete this form if you are a new patient or if you have had any changes such as address and telephone number.

Consent to Treat All patients less than 18 years of age, unaccompanied by a parent/legal guardian, must have this paperwork completed.

Personal Representative Enables you to authorize individuals, such as family members or friends, access to your health information.

Family History — Pediatrics Complete this form for your child prior to their first visit. This information helps us to understand the complete picture of your child’s health.

New Cardiology Patient Complete this form if you are a new cardiology patient.

Transfer Patient Records Request your records to be sent to another physician or if you would like us to request your records from another physician.

Advance Directive Advance directives give you a voice in decisions about your medical care when you are unconscious or too ill to communicate