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Patients - Forms

PBOI would like to make your visit a pleasant experience. We know that visits can sometimes take up valuable time. To help save you time during your next visit, please print out the appropriate form and bring to your next office visit.

Demographics Form and Medical History Form- New patients can print and complete a demographics and medical history form for their first visit.
Follow Up Form - Follow up patients can print and complete a follow up form for their appointment.
Medical Records Release Form
Dr. Clay Baynham's History of Illness Form
Dr. Bret Baynham's Pediatric New Patient History Form
Release of Auto / PIP Benefits - If you are being seen for an auto injury, please fill out this form and fax it to us.

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