If you are a Blue Cross Blue Shield (BCBS) member, you must fill out this form. If this form is not filled out, BCBS will not process any of your claims.  Click the link below to download. 

Whether  you are transferring your care with Dr. Clark or you are going to another physician, we cannot transfer your records without a signed Records Release Form, click the link below to download.

Dr. Sonya M Clark

Patient Forms



In order to expedite your patient visit, we ask you to please download and fill out the following patient forms, and bring them to your appointment.