Patient Forms

/Patient Forms
Patient Forms 2017-06-15T14:20:21+00:00

Welcome to NorthShore Primary Care. We are honored that you have chosen us
as your health care provider. Our goal is to provide the highest quality of care for all patients in
a timely and respectful manner.

Please review the forms at the links below and complete to the best of your ability prior to your first
appointment with us. Please also bring a medication list with you. If possible, please bring your
medication bottles as well to ensure we have an accurate medication list for you.

One of the forms enclosed is for a release of records from your prior physician/facility. Please
take time to complete this and have it sent in so that we may get your records in a timely
fashion to ensure a seamless transition.

We look forward to seeing you at your upcoming visit. If you have any questions or concerns
prior to your appointment, please do not hesitate to contact us.


Jennifer Carandang, MD
Sheila Rice, MD
Rebecca Ware, MD

Patient Forms