Patient Registration Packet

New Patient Registration Packet

If you have scheduled a first time appointment as a new patient, we kindly ask that you complete our New Patient Registration Packet to make sure that you understand your rights and responsibilities. It is very important that you read the forms and print them out prior to your visit. This will help to decrease your wait time and increase the time spent with your provider. 

Patient Forms For Your First Visit

• NOTICE OF PRIVACY ACKNOWLEDGEMENT / CONSENT FORM
• BPMC DEMOGRAPHIC FORM
• STATEMENT OF FINANCIAL RESPONSIBILITY
• CONSENT FOR MEDICAL TREATMENT