We offer various Healthcare Services

Thank you for choosing BCHIP for your Healthcare. For your convenience, you may download, print, and complete our required patient forms below.

Please remember to bring your completed forms, along with the following pieces of information, to your scheduled appointment:

  • Insurance card
  • Identification Card 
  • Referrals (If required by your insurance)
  • Co-payments (If required by your insurance)

New Patient Office Visit

The following documents will assist you in expediting the check-in process for your appointment. We ask that you please print and complete the following forms, and bring them with you to your appointment.

Post Consultation

These instructions are intended as a guideline and may vary from those provided during your exam or procedure. Please verify their appropriateness for you with our office.

If you Have Any Questions Call Us On (234)-807-771-3173