106 Park Drive · Hot Springs, VA 24445         Tel: (540) 839-7000 | (866) 839-7100

Bath Community Hospital logo
Bath Community Hospital logo

Forms

We’re here to help.

New Patient Form:

Our care plan starts here by completing the form below. While we transition to a new, more efficient system, we ask that you download the form in PDF format and return as required, or bring to your next appointment. Thank you for choosing Bath Community Physicians Group.
New Patient Paperwork
New Patient Paperwork - Español

Medical Records Request:

Please download the form(s) in PDF format to print, complete and return before your first appointment so that we may request your records from your previous provider(s):
Physicians Group Medical Records Request
Hospital Medical Records Request
financial consultation

Financial Assistance

You may qualify for financial assistance. Please download the form below in PDF format to print, complete and return as required.

Financial Assistance Application
Billing Policy
Emergency Care Policy
Financial Assistance Policy
Financial Assistance Policy Plain Language Summary
Understanding Pricing
No Surprises Act
Bath Community Physicians Group

Quick Links

Financial Services

The Bistro

Patient Forms

Events