© Brookside Family Health Center

Prepare for your first visit:

        Here is the new patient registration form.  = >


Prepare for your physical:

          If you are coming in for a physical, please be sure to fill out the questionnaire/health history form prior to coming.  The information asked for on the form may require some research on your part which must be done before coming to the appointment (immunization records, medication dosages, family member’s medical problems, etc).   

          If you need a copy to print.  =>

Records Release forms to print and send to the appropriate place:

                     To release records from another provider to us  =>                  

                     To tell us to send records to another practice  =>

Forms for Download

Medical History form

Records release  TO BROOKSIDE

Records release  FROM BROOKSIDE

New Patient Registration form

Brookside Family Health Center, PLLC PLLC Modern Medicine practiced with Old Fashioned Ideals 206 Commerce St,  Hinesburg,   VT     05461 Phone:    802-482-3900    Fax:  802-482-4159