Orchard Medical Patient Information

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.

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

Health Topics

Orchard Medical Associates LLC - Pediatric and Adult Medicine
Important information from Orchard Medical Associates LLC Pediatric Drug Dosages
Important information from Orchard Medical Associates LLC Well Child Care
Important information from Orchard Medical Associates LLC Sick Child Care
Important information from Orchard Medical Associates LLC After Hours Care