FORMS AND POLICIES

Paper work is a fact of life in today’s medical practice. We have numerous forms and policy positions available to you on the Web Site. If you are able to complete the appropriate documents prior to your office visit it will make your time in our office more efficient.

Download the following pdf files:

1. NEW ADULT PATIENTS

• Patient Information Sheet
• PCA HIPAA Privacy Statement
• Financial Policy
• Lab Drawing Sites
  

2. NEW/ESTABLISHED CHILD PATIENTS (0-18 years old)

• Patient Information Sheet
• PCA HIPAA Privacy Statement
• Financial Policy
• Lab Drawing Sites
• Lead Screening Sheet
• TB Screening Sheet

3. EXISTING PATIENTS

• HIPPA Release of Records Forms:
  • Transfer of Medical Records from Primary Care Associates
  • Request records to be sent to Primary Care Associates from other provider
• Sports Physical Form

These forms may be downloaded and brought to your office visit or may be e-mailed to us at medicalrecords@pricare.org.