Patient Forms
The Following Forms are for Information Pertaining to the Practice
Important Information for New and Returning Patients
To help us provide you with the best care possible, we’ve made essential forms available for all new patients, as well as those required annually for our returning patients. Completing these forms in advance helps streamline your check-in process, saving you time and ensuring we have the most accurate and up-to-date information to deliver the care you need.
How to Submit Your Forms:
- Email your completed forms prior to your appointment to info@orchardmedgroup.com.
- Alternatively, you can complete them and bring them with you to your appointment.
Important Reminder:
If your insurance requires you to designate a Primary Care Provider (PCP), please make sure this information is updated with your insurance carrier prior to your appointment. If it is not updated, your appointment may be delayed until the correction is made, or you could be held responsible for the associated charges.
If you have any questions or need assistance with the forms, or how to go about updating your PCP, please don’t hesitate to contact us. We’re happy to help!
Thank you for your cooperation — we look forward to serving you!
You may also want to print your forms. Please note, you will need Adobe Acrobat Reader to print your file. Download a free copy. All information requested is for your benefit. Please ensure all information is accurate and do not leave any areas blank, this may result in you incurring a bill. Don’t hesitate to call us if you have any questions!
