Here are some forms you may download and complete prior to your visit.
Form | Visit Reason |
---|---|
Flu-Vaccination-Only-Package | For flu vaccination only visit |
TB-Test-Package | For TB testing only |
Registration-Package | For first time visit OR the last visit was over one year |
Medical History Form | For ALL New Patients, ALL Travel Health Visit Appointments, and ALL existing patients who have not been to our clinic within a year |
Authorization-Disclose-Health-Information | For releasing health information for visits prior to February 20,2022. If your visit was after February 21, 2022, please contact DPH Health Information Management at (628)206-8622 |