Patient Forms

We are pleased that you have chosen Birmingham Internal Medicine Associates, P.C., (BIMA) to be your Primary Care Provider. In order to streamline your initial visit, we ask that you arrive 30 minutes prior to your appointment. You will be given a computer tablet at the time of your visit to electronically enter all of your other required patient information. If you have any questions regarding the entering of your information electronically, you may ask the front office receptionist to assist you when you arrive for your appointment.

Please be sure to bring a valid photo ID, insurance card, and credit card to cover any required deductible payments. We look forward to seeing you at your appointment.

Existing Patients - If any of your information has changed, including phone numbers, addresses, work information, or insurance, or if it has been ONE year since your last update, you will be asked to update this information on the provided computer tablet at the time of your visit. Please arrive at least 20 minutes prior to your appointment to complete this updated information.

Forms Available Online:

*The Medical Records Request form can be completed and faxed to (205) 930-2063 for copies of your medical records. There is a fee associated with printing and duplication of your medical records. This form is in the PDF format and a compatible PDF reader may be downloaded at