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    • Home
    • Our Services
    • Our Team
    • Insurance and Payments
    • COVID-19
    • Forms / Formas
    • Useful Links
  • Home
  • Our Services
  • Our Team
  • Insurance and Payments
  • COVID-19
  • Forms / Formas
  • Useful Links

Palm Valley Medical Clinic

Palm Valley Medical ClinicPalm Valley Medical ClinicPalm Valley Medical Clinic

Family Practice

Family PracticeFamily Practice

Forms In English

Department of Transportation (DOT) Form (pdf)Download
Internet Communication Consent Form (pdf)Download
Medical Release Form (pdf)Download
New Patient Registration (pdf)Download
Patient Update Form (pdf)Download
Workers Comp. Accident Summary Sheet (pdf)Download

Formas en Español

Autorización de Información de Salud del Paciente (pdf)Download
Consentimiento Para Las Comunicaciones Electronicas (pdf)Download
Formulario de Actualización del Paciente (pdf)Download
Registraciónes de Nuevos Pacientes (pdf)Download

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For Life Threatening Emergencies, Call 911