Casey Bonaquist, DO Office and Other Patient Information
Primary Office
Office 1: Baptist Primary Care
, Ponte Vedra, FL 32081
904.390.7503
Book an appointment online
Patient Forms
Welcome to Baptist Primary Care. To help expedite your first visit, we provide our health forms online so that you can print and complete them at your convenience. If you have any questions, please don’t hesitate to contact our office staff.
Baptist Primary Care Forms
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Advance Directives Information
Baptist Health encourages all patients to discuss future healthcare decisions with family and health care providers. That's why we offer advance care planning resources and tools, actionable next steps and forms to help you plan your care if ever faced with a serious or life-limiting illness.
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Authorization for Use of Voicemail
Authorizes Baptist Health to leave appointment, referral and test results information on your voicemail.
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BPC Patient Registration and Authorization
Captures patient demographic information, insurance information and authorizes Baptist Primary Care to prepare and submit your medical bill directly to your insurance company.
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Health Risk Assessment
Captures patient information to help provider assess any health risks.
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Medical History
Provides your primary care physician with important information about your medical and family history to better diagnose, treat or prevent conditions.
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Medical Records Release
Request to have your medical records sent to another medical provider.
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Physical & Wellness Exam Acknowledgment
Explains the reasons why a patient might be billed for an office visit and a physical exam if both are completed during the same visit.
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Practice Policies
Explains the practice policies to new patients.