Patients

Patient Information

New! Patient Portal Available

Your Patient Portal allows you to receive and reply to secure messages. For more information on how to access the patient portal and how to receive your Username, please call our office.

Login to Patient Portal

New Patient Forms Packet – REQUIRED

New Patients – Please download, print and complete all forms and bring to your appointment.

New patient forms packet contains New Patient form, Medical History form, Receipt of Notice of Privacy Practices form, Financial Policy form and Current Medications List form.

New Patient Forms Packet

Authorization to Disclose Form

If you wish a parent, spouse or other person to be able to access your health records and information.

Authorization to Use or Disclose Form
 (For releasing medical records or information FROM our office.)

General Information Forms

BARC Office Referral Form

Detailed Notice of Privacy Practices
Notice of Privacy Practices (NPP) Tri-Fold for Posting for Reception 092017

Authorization to Use or Disclose Form
(for having records sent TO our office)

Medication Refill Policy