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 |