Forms & Policies
Before your child’s appointment with us, quickly and conveniently access patient forms from our practice. To download the forms listed below, you will need Adobe Reader.
Please bring your completed forms with you to our office at the time of your child’s visit.
Download Patient Forms
- Medical Records Request
- New Patient Forms
- Health Care Authorization for Minors
- Medical Records Release
- ADHD Initial Assessment
- ADHD Follow-Up
- FHSAA Sports Form
- Patient Portal Access Request Form
Influenza Vaccination Forms
Office Policies for Current Patients
Upon arrival, please sign in at the front desk and be prepared to present your picture ID and insurance card if needed. Please let us know if there have been any address or phone number changes.
If you are going to be late for your scheduled appointment you will have a 15 minute window. If you feel you might be more than 15 minutes late, please call the office to confirm that your provider will still be able to see you.
Insurance & Payment
You will be responsible for any co-pay, co-insurance or deductible at the time of each visit. Any outside balances are due upon receipt of your statement. You can also pay balances online at https://mypay.poscorp.com/baptistprimarycare#/account/login If you have any questions about what your insurance plan covers please contact your insurance company.
Please allow 3 days for routine prescription refills. You may call the office during working hours for questions regarding prescriptions.
Our office requires that ALL patients are up to date on physical wellness exams before physical forms are completed. Typically those forms and a shot record are provided at the physical wellness appointment. We ask that you allow our staff 48-72 hours to complete requested forms. Thank you for your understanding.
Cancellation/ No Show Policy
We understand that occasionally you may need to cancel your appointment. Please notify the office of the cancellation at least 24 hours prior to the scheduled appointment. Failure to do so is considered a no-show and will be subject to an additional charge.