Forms We are currently closed to new patients for Primary Care. We remain open for new Gynecology patients only. Please print the forms below (PDF & WORD Format), complete and return to us at your earliest convenience. Patient Forms Internal Medicine New Patient Packet Medical Records Release Good Faith Estimate MI Disclosure Form Other Forms & Brochures: Notice of Privacy Practices Patient Satisfaction Survey Community Resource Flier PCMH Flier TBIM Patient Portal Brochure Notice-of-Non Discrimination