- Primary Care for Everyone !
- Mon - Thurs : 08.00am - 06.00pm
- Sat : 08.00am - 06.00pm
Patient Resources
Registration Forms
Download and complete these forms before your visit to save time at check-in.
Home › Forms
Patient Registration Form
New patient registration form with medical history and personal information.
Download PDF
HIPAA Authorization
Health Insurance Portability and Accountability Act authorization form.
Download PDF
Consent for Treatment
General consent form for medical examination and treatment.
Download PDF
Notice of Privacy Practices
Our privacy practices notice explaining how your health information is used.
Download PDF
Advance Directive
Document your healthcare wishes and preferences in advance.
Download PDF
Medication List Form
Form to document current medications, supplements, and allergies.
Download PDF
Need Help?
If you have trouble accessing any forms or need them in a different format, please contact our office at RRprimarycare@gmail.com and we’ll be happy to assist you.