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Brown Health Medical Group Primary Care Patient Forms

Please see below for several forms that may be helpful to you as a Brown Health Medical Group Primary Care patient.

  • New Patient Forms Packet - Adult and Family (PDF)
  • Notice of Joint Privacy Practices - HIPAA 
  • Advance Care Planning:
    • About Advance Directives (PDF)  
    • RI MOLST Form (English PDF)
    • RI MOLST Form (Spanish PDF)
    • Connecticut website  
    • Massachusetts website
    • Rhode Island website 
  • Permission to Discuss (PDF)
  • Request for Medical Records (PDF)
  • Pediatric Patient Information (PDF) 
  • Pediatric Medical History Form (PDF)
  • Pediatric Stimulant Medication Agreement (PDF)
Brown Health Medical Group Primary Care
  • Provider Search
  • About Us
    • Careers
      • Careers for Physicians
      • Pharmacy Residency Program
    • Leadership Team
    • News and Events
    • Patient-Centered Medical Home
    • What Is an ACO?
    • What is Family Medicine?
    • Facts and Statistics
  • Locations
    • Adult Medicine
      • Cranston Primary Care
      • East Greenwich Primary Care
      • East Providence Internal Medicine
      • Garden City Primary Care
      • Greenville Internal Medicine
      • Lincoln Primary Care
      • Metacom Primary Care
      • Newport County Primary Care
      • Newport Primary Care
      • Providence/Edgewood Primary Care
      • Wakefield Primary Care
      • Warren Avenue Primary Care
      • Women’s Medicine Primary Care
    • Family Medicine
      • East Providence Family Medicine
      • Hillside Family Medicine
      • Jamestown Primary Care
      • Narragansett Family Medicine
      • Primary Care, Tiverton
      • Warwick Primary Care
    • Pediatric Medicine
      • Bald Hill Pediatrics
      • Narragansett Bay Pediatrics
      • Toll Gate Pediatrics
      • Waterman Pediatrics
    • Specialties
      • Care365 Adult Sick Appointments
      • Musculoskeletal Health Program
        • Joint Health Program
      • Obesity Medicine Program
    • Laboratory Services
  • Care365 Adult Sick Appointments
  • Patient Portal
  • New Patient Registration
  • Pay Online
  • Patient Forms
  • Policies and FAQ
  • Services and Resources
    • Health Education Classes
    • Health Links and Resources
    • Vaccine Clinics
  • Contact Us

Brown University Health, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and The Miriam Hospital. A comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University, Brown University Health's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's; Bradley Hospital; Newport Hospital; Gateway Healthcare; Saint Anne's Hospital; Morton Hospital; and Brown Health Medical Group.

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