• Please bring current insurance cards

​

• Please bring photo identification such as a drivers license

​

• If possible, please print and fill out the HIPAA Agreement

  • This agreement ensures that the Brookside will maintain the confidentiality and secrecy of protected health and all other patient information.

​

​

​

​

​

​

• If possible, please print and fill out the Patient Communication Form

  • This agreement gives Brookside permission to share your information with individuals of your choosing.  It also lets Brookside know how you prefer to be contacted.

​

​

​

​

​

​

• ​If possible, please print and fill out the Records Request Form

  • ​This form allows Brookside to request records from your previous PCP​​​.

​

​

​

​

​

​

• ​If possible, please print and fill out the NPO Community Registy Form

  • If Brookside refers you to a specialist, this form will allow us to exchange office notes with that specialist.​​​