Forms

All Forms


New Patient Paperwork
No Show Policy
Release Records
Physician Practice Bill of Rights
Physician Practice Service Agreement

2021 Flu Season Information. Please print and complete forms prior to arrival.


Fluad Quadrivalent High Dose 65 and older
Flucelvax Quadrivalent 2- 64 Years of Age
About the Vaccine

Provider Update: We are now offering TeleHealth Visits. Please contact our office to schedule. You may also directly message your provider by logging into Centura Health Patient Portal. For assistance with logging in please call 1-866-414-1562. Thank you!