Skip to main content
Hunterdon Logo
  • Home
  • Find a Doctor
  • Services
  • Locations
  • Patients & Visitors
  • Patient Portals
  • Call 908-788-6100
  • Make a Payment
  • Urgent Care
  • Ways To Give
  • Careers
  • Contact Us
  • Call 908-788-6100
  • Make a Payment
  • Urgent Care
  • Ways To Give
  • Careers
  • Contact Us
Hunterdon Logo
  • Home
  • Find a Doctor
  • Services
  • Locations
  • Patients & Visitors
  • Patient Portals

Primary Care Forms

Breadcrumb

  1. Home
  2. Primary Care Forms

Important Message to Our Patients

As of January 1, 2025, our office will charge $10 to complete forms (examples, sports, camp, school, asthma action plans) outside of an office visit as long as your well visits are up to date.  This fee is waived if the forms are presented at a well visit or if you are on Medicaid or the Patient Assistance Program. 

Thank you.

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.

Medical Record Update 

English Medical Record Update Questionnaire

Spanish Medical Record Update Questionnaire

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.

English Adult Wellness Previsit Packet 

Spanish Adult Wellness Previsit Packet

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.

English Medicare Pre-Visit age 65 and over Wellness Patient Questionnaire 

Spanish Medicare Pre-Visit age 65 and over Wellness Patient Questionnaire

Authorization for Disclosure of Protected Health Information 

Permission to Share Medical Information

Share:

  • Email
  • Print
  • Facebook
  • Twitter

JOIN OUR HUNTERDON HEALTH MAILING LIST

A Twice Monthly E-Newsletter

Sign Up Now

Footer Logo
908-788-6100

Main Campus
Hunterdon Medical Center
2100 Wescott Drive
Flemington, NJ 08822
United States

Get Directions
Contact Us

Quick Links

  • Make a Payment
  • Patient Portals
  • Health & Wellness Center
  • Residencies & Fellowships
  • Hunterdon County Partnership for Health
  • Price Transparency

Connect

  • Ways To Give
  • Volunteer
  • Classes & Events

About

  • About Us
  • Careers
  • COVID-19 Information
  • Accepted Insurances
  • News & Stories
  • https://www.facebook.com/HunterdonHealthcare
  • https://twitter.com/hunterdonhealth
  • https://www.instagram.com/hunterdonhealth/
  • https://vimeo.com/hunterdonhealth
  • Privacy Policy
  • Non-Discrimination Policy
  • Vendor Policy
  • Financial Statements
  • Hunterdon Medical Center 990

©2025. Hunterdon Health. All Rights Reserved.