Patient Forms & Resources
Healthcare Software or Device Support
You may use certain healthcare related software or devices to help monitor how you are feeling. We can help you connect these systems to your VPA record so that your provider can see how you are doing. Please contact your local VPA office for help. We will connect you with a member of the technical team to assist.
Primary Care -Telehealth Visit Resources
For your convenience, we have supplied the following patient forms and resources as Adobe Acrobat files. Feel free to print them out and review them at your leisure.
For new patient forms that require your personal or medical information, please fill out those forms PRIOR to your first house call visit.
Primary Care Forms
- Notice of Privacy Practice - English (pdf) | Aviso de Prácticas de Privacidad - Español (pdf)
- General Consent for Treatment - English (pdf) | Consentimiento General Para Tratamiento - Español (pdf)
- New Patient Referral Form (pdf)
- New Patient Welcome Letter (pdf)
- VPA NoShow Policy Letter (pdf) | Politica de Inasistencia de VPA (pdf)
- Brochure - English (pdf) | Folleto - Español (pdf)