Patient Forms

NEW PATIENT INFORMATION FORM 
Download and complete your form to save time when you arrive.

PATIENT PRIVACY CONSENT FORM →
Download and complete your form to save time when you arrive.
Patients over the age of 16 must sign.

PRIVACY BROCHURE →
Download and complete your form to save time when you arrive.

HOTDOC BROCHURE →
Download and complete your form to save time when you arrive.

TRANSFER OF MEDICAL RECORDS FORM →
For patients wishing to transfer their medical records from their previous practice, please download the transfer of medical records form, complete and bring with you to your appointment.
Patients over the age of 16 must sign.

PATIENT CONSENT TO ELECTRONIC COMMUNICATION →
Download and complete this form if you require the clinic to send documents via email for you.
Form must be completed and returned to Berri Medical Clinic before we can send an email on your behalf.

PATIENT WITHDRAW CONSENT TO ELECTRONIC COMMUNICATION →