Patient Info

Getting Ready for Your Visit

At Ashcake Family Physicians, we want your visit to be as easy as possible. In order to speed up your check-in process, we encourage you to fill out any applicable forms before your appointment and turn them in to your patient services representative at time of check-in.

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

• Photo ID
• A list of your current medications
• Any and all x-rays films
• Insurance information and card
• Information about what treatments and medications have been tried in the past
• Medical records from prior visits that you think may be helpful
• New Patients: download a patient registration below

 Download Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

All individual files are available individually (in case you need a replacement).

Authorization for Release of Confidential Information
HIPAA Notice of Privacy Practices
Patient Registration
Permission to Disclose Private Health Information
Review of Symptoms
Treatment and Privacy Disclosure