Patient Resources


Clinic Forms

For your convenience, the below forms can be printed and filled out prior to your appointment.

Patient Registration
Notice of Privacy practices
Payment Policy
Appointment reminder
Records ReleasE (request from outside clinic)
Record Release (from Legacy)

Other Exam Forms

CDL Exam Form
KGBSD Physical Form
Student Health Review & Exam
USCG Exam Form

Electronic Medical Record Access

Access healthcare information recorded during your visits, including:

  • Upcoming appointments

  • Recent lab orders

  • Medications, diagnoses and more

 
 
Patient Fusion