Bridgewater Forms
Medical Record Update Electronic Link
Please use the link below to update your medical record anytime prior to coming to our office. When you check in, the information will download into your chart for your care team to review.
Adult Wellness PreVisit Form for Patients Age 18-64
When visiting your primary care physician for your annual wellness visit, please print, complete the form below, and bring it with you to your appointment.
Bridgewater Adult Wellness PreVisit Form
Medicare Wellness PreVisit Form for Patients Age 65 and Over
When visiting your primary care physician for your annual Medicare wellness visit, please print, complete the form below, and bring it with you to your appointment.
Bridgewater Medicare Wellness PreVisit Form
Authorization for Disclosure of Protected Health Information
Authorization for Disclosure of Protected Health Information
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