503-6You may receive these forms prior to your appointment at 8th Avenue Primary Care. If you want to get some of the paperwork completed ahead of time, download and fill out any of these forms.
English
- Patient Registration Form (PDF) »
- New Patient History (PDF) »
- New Patient Screening (PDF) »
- Authorization to Communicate Protected Health Information (PDF) »
- Authorization to Obtain and Disclose Medical Information (PDF) »
- Consent for treatment/conditions of admission (PDF) »
en Español
- Inscripción del Paciente (PDF) »
- Paciente Nuevo – Historia Clinica (PDF) »
- Autorización Para Comunicar Información De Salud (PDF) »
- Autorización Para Obtener y Revelar Información Médica (PDF) »