Forms

Dr. Charles R. Barker, Jr. family practice offers health-related forms online for new and existing patients. You can print the appropriate form(s), and fill them out before coming in for your appointment, and at your own pace. You can also wait until you arrive at the office and we will have copies for you to fill out then.

New Patient Package

HIPAA

Release

HIPAA Notice for Michigan

Let us know if you have questions on these forms. Phone: 616-794-1810 Fax: 616-794-2675