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Registration Forms
Registration Forms
If you are a new patient to BayCare Clinic, the New Patient Information
Form is completed to assist in expediting the
registration process once you arrive for your appointment.
Knowing your past
and present health information is an important part of your overall
exam. Completing the appropriate form below, prior to your visit,
allows you the time to assure all medical conditions and
medications are communicated and will save you time at
registration.
New patient
health history form
Current medication
list
Informed Consent for Release of Patient Health Care
Information
Advanced Care Planning
Advanced Care Planning is:
Preparing for how your health care treatment options
will be addressed when you are unable to speak for yourself;
Communicating with family/friends your preference for
care;
Documenting your wishes via Advanced Directives
(documents that speak for you) such as a Living Will or a Power of
Attorney for Health Care. A Living Will states what you want, but
does not give anyone authority to make decisions on your behalf.
The Power of Attorney for Health Care is a document in which you
appoint an agent to make decisions regarding your care when you
cannot make your own decisions.
If you do not have a living will or medical power of attorney, and
are interested in completing an advanced directive packet, the link
below will provide the information and documentation that you will
need: Advanced Directive Information