Brown Health Medical Group Primary Care Patient Forms

• New Patient Forms Packet - Adult and Family

How to Request Health Records from Your Former Clinician

Use the link below associated with your new Brown Health Medical Group Primary Care practice to download a PDF that you can send to your former clinician to request your health records be sent to your new practice.

Note: The address for the practice is in the top right corner of the PDF. Please take a moment to confirm you have chosen the correct form to send to your former provider.

• Bald Hill Pediatrics
• Cranston Primary Care
• East Greenwich Primary Care
• East Providence Internal Medicine
• Greenville Internal Medicine
• Hillside Family Medicine
• Jamestown Primary Care
• Lincoln Primary Care
• Middletown Primary Care
• Narragansett Bay Pediatrics
• Providence/Edgewood Primary Care
• Tiverton Family Medicine
• Toll Gate Pediatrics
• Wakefield Primary Care
• Warren Avenue Primary Care
• Warwick Primary Care
• Women’s Medicine Primary Care
• Waterman Pediatrics

• Permission to communicate health information
• Request medical records be sent from Brown Health Medical Group Primary Care to a new clinician
• Notice of joint privacy practices - HIPAA

Advance Care Planning

• About advance directives
• RI MOLST form (English)
• RI MOLST form (Spanish)
• Connecticut website
• Massachusetts website
• Rhode Island website

• Pediatric patient information
• Pediatric medical history form
• Pediatric stimulant medication agreement