• Skip to main content
Search
  • Home
  • Services
      • Behavioral Health
      • Bloodless Medicine
      • Brain & Spine
      • Cancer Care
      • Ear, Nose and Throat
      • Emergency Care
      • Geriatric Care
      • Heart & Vascular Care
      • Home Health Care
      • Medical Imaging
      • Minimally Invasive Surgery
      • Orthopedics
      • Pregnancy & Childbirth
      • Primary Care
      • Rehabilitation Services
      • Weight Loss Surgery
      • Wound Healing & Care
      • Women's Health
  • Doctors
      • Find a Primary Care Doctor
      • Find a Doctor
      • Physician Referral
      • Practices:

        Baptist Primary Care
      • Baptist AgeWell
      • Baptist Behavioral Health
      • Baptist Endocrinology
      • Baptist ENT Specialists
      • Baptist Heart Specialists
      • Baptist Infectious Diseases
      • Baptist MD Anderson Cancer Physicians
      • Baptist Neurology
      • Baptist Pulmonary Specialists (Nassau)
      • Baptist Rheumatology
      • Baptist Urology Group (Nassau)
      • Jacksonville Orthopaedic Institute
      • Lyerly Neurosurgery
  • Locations
    • Our Hospitals:

      • Baptist Medical Center Jacksonville
      • Baptist Medical Center South
      • Baptist Medical Center Beaches
      • Baptist Medical Center Nassau
      • Baptist Heart Hospital
      • Wolfson Children's Hospital

      Imaging Centers:

      • Magnetic Resonance Imaging (MRI)
      • Mammography and Bone Density
      • Medical Imaging

      Freestanding Emergency Centers:

      • Baptist Emergency at Clay
      • Baptist Emergency at North
      • Baptist Emergency at Town Center

      Urgent Care Locations:

      • Baptist Health Clinics at Walgreens
      • CareSpot Urgent Care

      Health & Wellness:

      • 4her Center for Women
      • JCA Wellness Connexion
      • Y Healthy Living Centers

      Outpatient Locations:

      • AgeWell Center for Senior Health
      • Baptist Clay Medical Campus
      • Baptist MD Anderson Cancer Center
      • Baptist Neurodiagnostic Center
      • Baptist North Medical Campus
      • Cardiac Testing Centers
      • Hill Breast Center
      • Infusion Center
      • Pharmacy
      • Rehabilitation Centers
      • Robotic Spine Surgery
      • Sleep Centers
      • Stroke and Cerebrovascular Center
      • Surgery Centers
      • Wound Care
  • Patient Info
      • Billing & Insurance Information
      • Insurance Plans Accepted
      • Cost Estimate Request
      • Financial Assistance Program
      • My Baptist Connect (Patient Portal)
      • Medical Records
      • Classes and Events
      • Clinical Trials
      • Tell Us What You Think
  • Health Library
      • Diseases and Conditions
      • Symptoms
      • Tests
      • Surgeries and Procedures
      • Injuries
      • Nutrition
      • Poison
      • Drug Information
      • Drug Images
      • Health News
      • Video Library
  • About Us
      • Administration
      • Awards & Honors
      • Careers
      • Provider Opportunities
      • Baptist MD Anderson Provider Opportunities
      • Spiritual Care
      • Social Responsibility
      • Community Health Needs Assessment (CHNA)
      • Corporate Wellness (PATH)
      • Volunteering
      • Newsroom
  • Juice
      • Health News Overview:

      • Brain, Spine & Nerve
      • Cancer
      • Child Health
      • Community Health
      • Heart & Vascular
      • Mental Health
      • Orthopedics, Bones & Muscles
      • Pregnancy & Childbirth
      • Primary Care
      • Wellness
      • Women's Health
  1. Home
  2. Doctors
  3. Family Physician
  4. Robert James, MD
  5. Patient Forms

Robert James, MD
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:

  • BPC Authorization for Use of Answering Machines*

    Authorizes Baptist Primary Care to leave appointment, referral and test results information on your answering machine.

  • Medical Records Request or Release*

    Initiates your request to have your medical records sent to another medical provider and/or to request your medical records from another provider be sent to your primary care doctor.

  • BPC 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.

  • 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.

  • Advance Directives - Overview*

    This link opens the official Florida Agency for Health Care Administration website. It provides detailed information about advance directives, patient's rights, frequently asked questions and forms.

  • Advance Directives - Living Will Form*

    This link opens the official living will form provided by the Florida Agency for Health Care Administration. This form allows you to document your instructions to your doctor to provide, withhold or withdraw life-prolonging procedures.

  • Advance Directives - Designation of Health Care Surrogate Form*

    This link opens the official designation of health care surrogate form provided by the Florida Agency for Health Care Administration. This form allows you to designate another individual to make treatment decisions on your behalf.

  • Advance Directives - Uniform Donor Form*

    This link opens the uniform donor form provided by the Florida Agency for Health Care Administration. This form allows you to indicate your desire to make an anatomical decision after death.

  • Advance Directives - Wallet Card*

    This link opens the Advance Directives wallet card provided by the Florida Agency for Health Care Administration.

Indicates that this requires Adobe® Acrobat ReaderRequires Adobe® Acrobat Reader or Apple® Preview application. Click [ HERE ] to download and install the latest version of the Adobe® Acrobat Reader. Once you have the reader installed, you will be able to open and print the selected form.

Photo of provider

Related Pages

  • Physician Profile

  • Request an Appointment

  • Baptist Primary Care

  • Billing Information

  • Insurance Information

  • Patient Forms

  • Directions

    • Baptist Primary Care

      6142 Collins Road
      Jacksonville, FL 32244

      Get directions to this location:
      GO

      904.778.3200

      Services

      • Complete physicals

      • School/athletic physicals

      • Well-child visits

      • Immunizations

      • Nutritional counseling

      • Smoking cessation

      Phone Directory

      • 904.778.3200

      • 904.778.9835

      • 904.202.1032

      • 800.835.0788

      • 911

      Hours

      • 8:00 AM - 5:00 PM

      • 8:00 AM - 5:00 PM

      • 8:00 AM - 5:00 PM

      • 8:00 AM - 5:00 PM

      • 8:00 AM - 5:00 PM

      Providers at this location:

      • Alan Lim, MD, FAAFP
        Family Physician

      • Joseph McQuade, MD
        Family Physician

      • Amila Perera, MD
        Family Physician

      • Sonia Sharma, MD
        Family Physician

      Also at this location:

      • Susan Smith, ARNPRequest Appointment

© Copyright 2019 | All Rights Reserved

If you speak another language, assistance services
free of charge, are available to you.

Baptist Health Facebook Baptist Health Twitter Baptist Health on LinkedIn Baptist Health on Instagram Baptist Health on Youtube
Physician Login | Application Login | Employee Login
Quality Measures | Privacy | Non-Discrimination | Comments | Site Map