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Online Forms

Barrett Health Centers offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

New Patient Intake Forms : this form is submitted online
Assignment of Benefits (print and fill out)
Payment Policy (print and fill out)



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Office Hours

Monday:

8:30 am-7:00 pm

Tuesday:

8:30 am-7:00 pm

Wednesday:

8:30 am-7:00 pm

Thursday:

8:30 am-7:00 pm

Friday:

8:30 am-7:00 pm

Saturday:

By Appointment

Sunday:

Closed

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