Community Staff Resources

If you are one of our community partners, here you will find links to access forms, assistance with registering for the Bluestone Bridge and more information about Bluestone Community Education.

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Forms

• Community Staff Bridge Registration Form
• Provider Rounding Form (PDF)
• BPS Visit Prep Form (PDF)
• POLST (PDF)
• Service Vendor Validation Form
• Influenza Consent Form
• Bridge Nursing Guide
• CVS Flu Clinic Consent 

Spanish Forms

• Patient Enrollment Form – Spanish
• Patient Health History Form – Spanish
• PCMH Info Sheet – Spanish
• HIPAA Notice of Privacy Practices – Spanish
• Enrollment Checklist – Spanish
• Authorization Release – Spanish
• Consent HIPAA Acknowledgement – Spanish

Bluestone Community Education

Bluestone Physician Services is dedicated to supporting our community partners and remaining at the forefront of geriatric care. We acknowledge the hard work that goes into caring for older adults and the ongoing need for continuing education to best care for the elderly population.

Bluestone Community Education covers a wide range of topics to support the caring of older adults. Presentations vary in length and can be arranged by contacting your territory manager.

Topics include:

Coumadin Therapy
Urinary Tract Infections
Geriatric Immunizations
Diabetic Foot Care
Dementia with Behaviors Management
Medicare Coverage of DME
Geriatric Fall Risks

For copies of informational materials or to schedule an educational session for your community, contact our clinical operations manager at Darci.Reyerson@bluestonemd.com.