Patient Information

Thank you for your interest in Vineyard Primary Care. If you are interested in becoming a new patient please contact the office to apply or feel free to print a copy and fill out the New Patient Registration Form and Authorization for Release of Information Form here. You may drop these by the office, mail these in or fax back to us for convenience and someone at the office will contact you to schedule your appointment once reviewed. We look forward to providing you with excellent health care!

New Patient Registration Form 

 

Medical Records Release Form 

 

Notice of Privacy Practices

 

Items to Bring to Your Appointment

  • Valid ID
  • Insurance Card
  • Medication List
  • Medical Records (If Possible)

Office Mailing Address and Contact Information:

Vineyard Primary Care
2851 New Hartford Road, Suite A
Owensboro, KY 42303

Office Phone Number- (270) 240-2305
Office Fax Number- (270) 240-2252