Upon your initial arrival to any of the PHCA Medical Group clinics, we ask that you fill out the patient forms below.  This will assist us in making sure you are seen in a timely manner and all your medical records are completely up to date.

If you have questions about what forms you will need to submit, please call by clicking the button below.

PHCA Medical Group Patient Forms:
(Download PHCA Medical Group Packet)

Below are links to individual forms

New Patient Form (English-Spanish)

Advance Directives Statement Form (English-Spanish)

Notice of Privacy Practices Form (English-Spanish)

Disclosure of Protected Health Information Authorization Form (English-Spanish)

Specialist Form