New Patients

Are you a brand new patient to Main StreetPhysicians Care?
Click here to download all forms you need for your first visit. Please download and
review, and bring the completed and signed forms with you to your first appointment.

Notice of Privacy Practices

Please download and review, and bring the completed
and signed form with you to your appointment.

Patient Health Information

These forms give your clinician an accurate and up-to-date status of your personal information and health condition and history. You can complete electronic versions of these forms through the Athena Patient Portal. If you prefer to complete the form by hand, please download and review, and bring the completed and signed forms with you to your appointment.

 

Authorizations

The forms below are used to authorize Main StreetPhysicians Care to obtain and release
your health information. Please download and review, and bring the completed
and signed forms with you to your appointment.