In order to save you time when visiting Harvard Family Physicians, we have made several of our patient forms available online.
Please download and complete any of the forms below that pertain to you. Bring them, along with your insurance card and a list of current medications, to your first appointment.
Please confirm with your insurance carrier whether we are listed on your plan within network.
This form is a standard medical questionnaire to discover medical history. It includes past medical history, surgical history, current medications, allergies, family history, social history and systems review.
This document gives an explanation regarding patient and insurance responsibility for services rendered.
DISCLOSURE OF HEALTH
This is an important legal document. It allows you to decide who or whom you would like to disclose your medical records.
RELEASE OF MEDICAL RECORDS
This form should be used if you wish to release or obtain your medical records for yourself, another doctor, organization, hospital, or other healthcare provider(s).