Patient Forms and Information

If you are a new patient, please complete a New Patient Medical History Form and bring it with you to your first appointment.

Downloading and completing a patient registration form online can also save you time prior to your appointment.

Download OhioHealth Primary Care Powell Medical Forms

Patient Registration
Adult Patient Medical History Form
Child Patient Medical History Form

If you need to transfer your medical records from another medical practice to OhioHealth Primary Care Physicians, please complete the Release of Medical Records form below and give it to the medical practice that currently has your records. 

Release of Information Form