Patient forms
A little paperwork, a faster visit.
Download the forms below, fill them out at home, and bring them along. Check-in takes minutes instead of a clipboard session.
Authorization & Consent for Treatment
The standard consent form every new patient signs before a first visit.
Download PDFAuthorization to Release Health Information
Lets us request your records from a previous practice, or share them when you ask us to.
Download PDFPreferred Contacts
Tells us who we may speak with about your care and the best ways to reach you.
Download PDFThese are the official forms used by our practice through Privia Medical Group and the myPrivia patient platform. Rather fill them out here? Arrive ten minutes early and we will have copies ready.
Questions about a form?
Call the office and we will walk you through it, or help you decide which forms you actually need.