Dorchester
Medical
Associates

For all NEW PATIENTS or patients whose information may have substantially changed since their last visit.

For EXISTING PATIENTS whose information is already recorded and on file with our practice.

Information required by the privacy regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Progress Tracker for ages 6 mos. to 5 yrs. Well Child Checklist ages 6 yrs. to 21 yrs.