At this time, our Care Clinic remains open but will no longer accept WALK INS. All patients are urged to call our office at 540-955-4811 to schedule an appointment.

If you have a respiratory illness such as, cough, fever, shortness of breath, or you think you may have come into contact with a positive COVID-19 patient – please call our office and asked to speak with the nurse.

COVID 19 VACCINATIONS NOW AVAILABLE!!!! CALL OUR OFFICE TO SCHEDULE

BERRYVILLE MEDICAL ASSOCIATES, PLC

115 South Church Street

Berryville, Virginia 22611
Phone: 540-955-4811
Fax: 540-955-0976
Hours of Operation
Monday-Friday 8:00am- 4:00pm
Closed 12:00pm-1:30pm for lunch

Patient Forms

Notice of Privacy Practices - Information indicating how your medical information is used and/or disclosed.

Authorization to Release Medical Information - This form gives Berryville Medical Associates the right to retrieve records from another provider. It can also be used to authorize Berryville Medical Associates to send your medical records to another provider.

Patient Demographic Sheet- This form includes demographic information, as well as, Authorization for Disclosure of Protected Health Information, and insurance information.

Health History Form - This form collects information regarding you past medical history and family health history.

Medicare Wellness Form - This form collects information related to preventive visits for MEDICARE patients

VHSL Athletic Participation/Physical Examination Form - Virginia Sports Physical Form

Commonwealth of Virginia School Entrance Health Form - Virginia School Entrance Exam Form.

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Patient Forms