Thank you for choosing Cullman Primary Care, PC for your health care needs.  

Below you will find the new patient packet of information specific to the physician you are establishing with.  Please print and complete the forms and bring them to your appointment. Please arrive at the office 30 minutes prior to your scheduled appointment time and bring all medication bottles with you, as well as your current photo id and insurance cards.   Should you have any questions or need any assistance, please give the office a call at (256) 736-2273. Should you need to reschedule or cancel, please give us a 24 hour notice.  We look forward to seeing you!

PRIVACY AUTHORIZATION FORM

New Patient Paperwork Medical

Tafazoli Adult Medicine Paperwork
Tafazoli Adult Sleep.Paperwork

Tafazoli Pediatric Medical Paperwork
Tafazoli Pediatric Sleep Paperwork

OB New Patient Paperwork