Patient Documents

PCMH Patient Compact

A Patient-Centered Medical Home reflects a trusting partnership between a doctor-led healthcare team and an informed patient. It includes an agreement between the doctor and the patient that acknowledges the role each plays in a total healthcare program. 

Patient Information

New patients can save time during their first appointment by completing the patient registration form prior to their visit. Simply complete the patient registration form with the information requested, print the form, and bring it with you to your appointment. 

Wellspire Financial Policy

We are committed to building a successful physician-patient relationship with you and your family. Your clear understanding of our patient financial policy is important to our professional relationship. Please ask any questions you have about our fees, policies, or your responsibilities. If any of your information, such as insurance coverage changes, it is your responsibility to let us know.

Wellspire Medical Records Authorization Form

The privacy of your information is protected by federal and state regulations. This means your medical information is only available to Wellspire Medical Group personnel unless you authorize release of your information to others.