Highland Springs Primary Care
Highland Springs Primary Care

Patient Forms

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

Past History
Patient History.docx
Microsoft Word document [15.1 KB]

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

We accept most types of health insurance. Please contact us for further details.

Important telephone numbers for in case of emergencies:


 Emergency Services & Fire Department  911
  Poison Emergency  1-800-222-1222
Centers for Disease Control and Prevention 800-CDC-INFO (800-232-4636)