New Patient Package:  Below you will find the New Patient Package containing forms and policies that we will ask you to review and sign at your first appointment.  For your convenience, you can print, review and sign prior to your visit and simply bring them with you on the day of your appointment.  If you choose not to complete the forms ahead of time, please arrive at least 15 minutes prior to your scheduled appointment time to allow time to complete the required paperwork.

Complete New Patient Package


 

Annual HIPAA Forms: Below you will find a copy of our Notice of Privacy Practices, as well as the Consent to Disclose Personal Health Information For Treatment, Payment or Healthcare Operations AND Authorization to Disclose Personal Health Information. These will need to be reviewed and signed each calendar year.

Brighton Notice of Privacy Practices
HIPAA Consent and Authorization

 


 

Additional Forms: Below you will find forms and policies that are included in the New Patient Package, but you may also need to access periodically:

Patient Registration
Brighton Pediatrics Financial Policies
Brighton Pediatrics Office Policies
Authorization for Release of Medical Records
Primary Contact Number and Authorization to Release Labs
Authorization for Release of Medical Records