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Bristol Primary Care LLC
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Patient Forms & Documentation

Download and print official Bristol Primary Care LLC PDF forms to fill out in advance of your visit.

PDF Resources

Fast & Easy Pre-Visit Registration

Bristol Primary Care LLC offers downloadable PDF documents that patients can use for registration, medical records release, advance care directives, and clinic policies. Downloading and completing these prior to your appointment speeds up check-in.

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New Patient

Patient Registration Form

Official new patient registration paperwork. Complete and bring to your first visit or submit online.

Compliance

HIPAA Notice of Privacy Practices

Explains how your protected health information is used, safeguarded, and disclosed in compliance with HIPAA.

Policies

Clinic Policy & Procedures

Practice terms regarding appointment scheduling, cancellation, payment policies, and clinic code of conduct.

Consent

Patient Consent Form

General medical consent form for examinations, treatment, diagnostics, and routine health evaluations.

Records Release

Authorization to Release Health Information

Use this form to request your medical records or authorize the transfer of health records to/from other providers.

Advance Care

Advance Directives Documentation

Healthcare proxy, living will guidelines, and appointment of health representative documents.

Medications

Controlled Medication Agreement

Detailed practice agreement and guidelines regarding controlled medications and non-controlled alternatives.

Ready for Compassionate, Personalized Healthcare?

Experience dedicated 30-45 minute unhurried appointments with board-certified physicians in Bristol, CT. Same-day & next-day visits available.

Request An Appointment Call (860) 261-5217
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Bristol Primary Care App

Install directly on your iOS or Android device for instant 1-touch appointment booking & patient resources.

For iPhone & iPad (iOS):

  1. Tap the Share button in Safari.
  2. Scroll down and tap "Add to Home Screen" .
  3. Tap Add in the top right corner.

For Android Devices:

Tap the button below or open Chrome menu (3 dots) and select "Install app / Add to Home screen".