Wayland Personal Physicians New Patient Forms

For your convenience, Wayland Personal Physicians' new patient forms are available online. These forms can be downloaded and completed prior to your first visit. This will speed up your registration process. You may also just fill them out at our office on the day of your visit.

  • New Patient History Form: This form helps us gather your history so we can get a more complete view of your health.
  • Medical Records Release: This form allows us to request your medical records from your past physicians (including our previous practice). This form also permits us to release your medical records to others when this is needed.
  • Notice of Privacy Practices (HIPAA): Protecting your privacy is of utmost importance to us.
  • Electronic Communications Agreement: If you prefer to use alternative means of communication such as regular email or video, we ask that you review and sign this document.

If you have any questions about any of these forms, please do not hesitate to contact our office at (508) 358-3300.