Patient Forms

Download, complete, and bring these to your visit, or fill them out ahead of time to save a few minutes at check-in. Each form is a PDF you can complete on your computer or print.

Medical Records Release

Authorize Quality Primary Care Associates to release your health records to another provider or party.

Download PDF

Medical Records Request

Authorize another provider or practice to send your health records to us.

Download PDF

HIPAA Right of Access (Family or Friend)

Allow a family member or friend to access and receive your protected health information.

Download PDF

Physical vs Office Visit

Understand the difference between a preventive physical and a problem-based visit, and how each may be billed.

Download PDF

Notice of Privacy Practices (HIPAA)

How we protect, use, and share your health information, and your privacy rights.

Download PDF

Need help with a form, or prefer to complete one in the office? Call us at 301-762-7723 and our team will be glad to help.