New Patient Forms - Primary Care
Thank you for choosing Northern Light Mercy Primary Care. It will be our privilege to meet your medical needs and partner with you to better your overall health. Below you will find forms for your review and completion. We request that you please complete all documents prior to your first appointment, as this information will help us deliver the most comprehensive care.
Also, please request records from your previous providers(s) prior to your appointment. This will help us fully understand your healthcare needs. If you have not done so already, please contact your past and current primary and specialty care providers to request that they mail or fax your information to us. You may need to sign a release form (below) to get your records sent to us. Phone and fax numbers to each of our practices can be found on the bottom of this page
Please plan to arrive 15 minutes prior to your scheduled appointment with your photo ID, insurance card(s), and a list of all medications, both prescription and over-the-counter, that you are taking. It would also be helpful to verify with your insurance provider that we participate with your plan to ensure coverage for your visits.
Thank you for choosing Northern Light Mercy Primary Care for your health care needs. We look forward to meeting you.