Patient Forms

Fill out your forms online in about two minutes, or download a PDF to print and bring with you.

Fastest way

Fill out your forms online

Sign with your finger, add a photo of your ID, and send it straight to our office. No printing, scanning, or emailing.

Works best on your phone or tablet

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

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

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

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

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

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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.