Policies and Forms
As a new patient at BSSI, there will be multiple forms you will have to fill out and policies of which you must be aware, all of which are required by the ever-changing health system.

We understand that this paperwork can seem overwhelming.  So to try and simplify the process, we have provided you with some of the forms and policies that will be required at the time of your initial BSSI office visit (see below).

Feel free to print any of the forms that apply to you and fill them out at your leisure, or bring them in on your appointment date and time.   Or you can simply read them over so you are prepared to fill them out in our office.

As for the BSSI office policies, patient rights and responsibilities listed on the policies and forms page, please take the time to review this information carefully.

Office Policies

New Patient Check List

New Patient Registration Form - Medical Office

Patient Rights and Responsibilities

Release of Medical Information Consent

Patient Medication and Allergy History

Workers' Comp - How Does the System Really Work

Workers' Comp - Common Questions

Worker's Comp - Intake Form


No Fault Forms

Dr. McAdam

Dr. Kaplan

Dr. Bergfeld

Dr. Kaufman

Motor Vehicle/No Fault Accident Insurance Information

Motor Vehicle/No Fault Accident Intake Form

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