Patient Paperwork

records obtain form allow US To OBTAIN YOUR RECORDS FROM OUTSIDE OUR PRACTICE
records release form GIVES PERMISSION TO RELEASE 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.

@healthyberkeley

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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.

PATIENT Paperwork

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 RELEASE RECORDS to approved person(s)

follow us

BERKELEY FAMILY PRACTICE

PATIENT Paperwork

new patients

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

current patients

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

RECORDS

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

follow us

BERKELEY FAMILY PRACTICE

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

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

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