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 schedule an appointment. Prior to your visit feel free to print a copy and fill out the New Patient Registration Form and Authorization for Release of Information Form. For a timelier check-in at your appointment we request you mail or fax the completed forms to the office prior to your appointment. You may also bring the completed forms in at the time of your appointment.

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