If you are visiting Pulmonary & Critical Care Associates, P.C.,
(PCCA) for the first time, for your convenience we
offer our required medical forms for you to print and complete before
Patients who use our Patient Portal to complete their health history, should ignore the forms listed directly below
and proceed to the Portal Patient Forms section further down the page and print/complete
General New Patient
Portal Patient Forms
Once you have electronically completed the Health History forms via our Patient
Portal, please print, fill out and bring with you to your
appointment, the following forms:
Medical Records Release Forms
Click the link below to print a form to authorize the release of medical information TO PCCA.
Click the link below to print a form to authorize the release of medical information FROM PCCA to another provider/entity.