Mark Bedard, DO Office and Other Patient Information
Primary Office
Office 1: Baptist Primary Care
, Jacksonville, FL 32244
904.908.3915
Patient Forms
Welcome to Baptist Primary Care. To help expedite your first visit, we provide our health forms online so that you can print and complete them at your convenience. If you have any questions, please don’t hesitate to contact our office staff.
Baptist Primary Care Forms
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Authorization for Use of Voicemail
Authorizes Baptist Health to leave appointment, referral and test results information on your voicemail.
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BPC Patient Registration and Authorization
Captures patient demographic information, insurance information and authorizes Baptist Primary Care to prepare and submit your medical bill directly to your insurance company.
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Health Care Authorization for Minors
Authorizes Baptist Primary Care to deliver medical services and treatment to your children.
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Medical Records Release
Request to have your medical records sent to another medical provider.
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Medical Records Release
Request to have your medical records sent to another medical provider.
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New Patient Forms
New Patient Forms