Patient Forms – BCT Medical Associates

Patient Forms

BCT Medical Associates > Patient Forms

Patient Forms

BCT Medical’s philosophy is based on delivering the highest quality of comprehensive care to our clients

Assignment of Benefits & Authorization to Pursue Appeal and/or Litigation of Health Care Benefits

Click to Visit Form

Medication Management Agreement

Click to Visit Form

Patient Demographics Form

Click to Visit Form

HIPAA Authorization to Release Protected Health Information

Click to Visit Form

New Patient Form

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Project Medicine Drop

Click to Visit Form

Acknowledgement of HIPAA Privacy Notice and Designation of Disclosure

Click to Visit Form

Notice of Privacy Practices

Click to Visit Form