Medical Record Update Electronic Link

Please use the link below to update your medical record anytime prior to coming to our office. When you check in, the information will download into your chart for your care team to review.

Medical Record Update Link

FORMS

Registration Form for New Patients

Registration Form (PDF format – 2 pages – 67KB)

Adult Wellness PreVisit Form for Patients Age 18-64

When visiting your primary care physician for your annual wellness visit, please print, complete the form below, and bring with you to your appointment.

Adult Wellness PreVisit Form

Medicare Wellness PreVisit Form for Patients Age 65 and Over

When visiting your primary care physician for your annual Medicare Wellness visit, please print, complete the form below, and bring with you to your appointment.

Your Doctors Care Medicare Wellness PreVisit Form

Authorization for Disclosure of Protected Health Information

Authorization for Disclosure of Protected Health Information Form