Forms

• Demographics form
• History Questionnaire
• Symptom Questionnaire
• Auto Claim form
• Release of Information (to BAFC)
• Release of Information (from BAFC)
• HIPAA Privacy Practices
• Patient-Centered Medical Care Brochure

These are some of the forms you may need for your visit or to have records transferred. Clicking the link will open the form in Adobe PDF format. You will need PDF reader to open and print the forms.They must be printed to fill them out, as they are not designed to be filled out online. If you do not have PDF reader you can download it for free here:

Adobe Reader