Darlene Bartilucci, MD

Darlene Bartilucci, MD

Family Physician

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Darlene Bartilucci, MD Office and Other Patient Information

Primary Office

Office 1: Baptist Primary Care

3101 University Boulevard South , Suite 102
, Jacksonville, FL 32216

904.721.4022

Book an appointment online

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

  • Advance Directives Information

    Baptist Health encourages all patients to discuss future healthcare decisions with family and health care providers. That's why we offer advance care planning resources and tools, actionable next steps and forms to help you plan your care if ever faced with a serious or life-limiting illness.

  • Authorization for Use of Voicemail

    Authorizes Baptist Health to leave appointment, referral and test results information on your voicemail.

  • 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.

  • Health Care Status Authorization

    Authorizes Baptist Primary Care to release information concerning the status of your health care, including laboratory and radiology results and to discuss your treatment plan with an individual that you name.

  • Medical Records Release

    Request to have your medical records sent to another medical provider.