Patient Information

Please click on each link to download the appropriate form.

Forms may be printed, completed and brought in to the medical office on the day of your appointment.

Patient Information Form
Patient Consent Form
Medical Record Release Form
Immunization Record Release Form
Narcotic Policy and Contract
Notice of Privacy Practices
Acknowledgement of Notice of Privacy Practices
Pre-Op Consultations
Avoid the Emergency Room or Urgent Care Center
No-Show and Cancellation Policy
Nondiscrimination Policy
Identity Theft Prevention Compliance
Orchard Medical Associates, LLC HealthCare Support Portal

Health Topics

Pediatric Drug Dosages
Well Child Care
Sick Child Care
After Hours Care