Forms

All Forms


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

2020 Flu Season Information. Please print and complete forms prior to arrival.


What You Need to Know - Flu Information
2020 Flu Clinic Dates & Times
Flu Consent - Under 65
Flu Consent 65 & Older

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!