Patient Forms

At Brighton Family Physician, we understand the importance of having all the necessary information about our patients to provide the best possible care. To help us achieve this goal, we have created a comprehensive set of patient forms that we ask all new patients to complete before their first appointment.

By completing these forms in advance, our patients can save time during their initial appointment and ensure we have all the relevant information about their medical history, current health status, and other pertinent details.

Here is a breakdown of the various patient forms that we offer and why they are essential:

1. New Patient Registration Packet

The New Patient Registration Packet is a series of forms that collect important patient demographic information, insurance for billing purposes, medical history and additional forms acknowledging our offices policies.

2. MHSAA Sports Physical Form

If your child is scheduled for a well child exam and needs a sports form to be completed, please print and complete the patient information portion of the form prior to your appointment with your physician.

3. Authorization to Release Medical Records Form

The Authorization to Release Medical Records Form allows our practice to obtain patients’ medical records from other healthcare providers, such as hospitals or specialists. This form is essential in ensuring that we have a complete picture of the patient’s medical history and can provide the best possible care.

4. Medicare Wellness Visit Forms

For our Medicare patients, we offer a Medicare Wellness Visit Form that collects information about the patient’s current health status, medications, and potential risk factors. This form is necessary for Medicare wellness visits to help prevent or detect potential health problems before they become more serious.

5. Disability Placard Application

For your convenience we have the disability parking application to be completed prior to being brought to the office for completion by your physician.  Applicants must complete and sign Part 1 of the Disability Parking Placard Application.

At Brighton Family Physician, we collect thorough and accurate patient information, which is essential in providing the best possible care. By completing these patient forms in advance, our patients can help us achieve this goal and ensure that their appointments run smoothly and efficiently.