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Patient Forms


In an effort to make your appointment check-in process smoother and more efficient, here you can find a number of forms that you may fill out in advance of your appointment.

New Patient Forms
If you are a new patient for a Sentara Medical Group practice, you can download the appropriate form below (Adobe Acrobat Reader required). Print and complete the form, and bring it with you to your first visit.

 Adult Patient
 Pediatric Patient

Authorization to Disclose or Release Health Information
If you want to have a medical record transferred from another doctor’s office to your new Sentara Medical Group office, please complete this form. Likewise, this form can also be used to authorize someone other than you to have access to information about your healthcare status on treatment. Just print and complete the form and bring it with you to your next appointment.

Authorization to Disclose or Release Health Information
 
For questions about these forms, please call your Sentara Medical Group practice.


 


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