Primary Care Forms

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 

English Medical Record Update Questionnaire

Spanish Medical Record Update Questionnaire

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

English Adult Wellness Previsit Packet 

Spanish Adult Wellness Previsit Packet

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

English Medicare Pre-Visit age 65 and over Wellness Patient Questionnaire 

Spanish Medicare Pre-Visit age 65 and over Wellness Patient Questionnaire

Authorization for Disclosure of Protected Health Information 

Permission to Share Medical Information