Walk-In Medical Care Flagstaff Medical Care When You Need It
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Medical Care Flagstaff
Forms

To ensure the minimal wait time for our patients, we have provided many of the medical forms we use in our health care clinic. We recommend you download and fill-in the necessary forms prior to your office visit. This will allow you to provide accurate information and speed up the treatment process.

Patient Forms

Patient Registration Form (73KB PDF*)
Notice of Privacy Practices (100KB PDF*)
Medical Authorization Form - Minor Child (46KB PDF*)

Employer Forms

Employer Worker's Comp Authorization (74KB PDF*)
Employer Authorization for Exam / Drug Screen (58KB PDF*)

 



* About PDF Format Files:
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