BERKELEY FAMILY PRACTICE
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PATIENT Paperwork

Welcome to our new patients & thank you to our dedicated current patients. ​We are proud to be caring for you.  The following forms are available for download to bring with you on the day of your appointment.  
SCAM ALERT:  Please know that Berkeley Family Practice, LLC will never contact you regarding an order for a knee brace or any other medical equipment.  There is a foreign fraudulent campaign to call patients and offer this service in attempts to get your personal and credit card information.  DO NOT GIVE THEM ANY INFORMATION.

new patients


Welcome letter    ​includes important details about our practice and services
registration packet    includes registration, consent & records oBTAIN forms
medical history form     captures your medical history for provider

current patients


WELCOME LETTER    ​INCLUDES IMPORTANT DETAILS ABOUT OUR PRACTICE AND SERVICES
medical history form    updates your medical history for provider

RECORDS


records obtain form     allow US To OBTAIN YOUR RECORDS FROM OUTSIDE OUR PRACTICE
records release form    GIVES PERMISSION TO RELEA
SE RECORDS to approved person(s)

You can fill out form above OR you can submit your request at ​ASKFORRECORDS.COM/BERKELEYFAMILYPRACTICE
If you have any questions, please call us at 843.761.8800. ​
log-on to patient portal

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BERKELEY FAMILY PRACTICE

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Medical Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Berkeley Family Practice, LLC (BFP) makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE. BFP IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE.

​IF THIS IS AN EMERGENCY, CALL 9-1-1.
  • Home
  • ABOUT US
    • Our Practice
    • Our Providers
    • Our Staff
    • Our Services
  • Patient Center
    • COVID19
    • FLU
    • Telehealth
    • Patient Portal
    • Patient Paperwork
    • Patient Resources
  • Contact Us
  • Updates