Forms and Policies

Valley Care Clinics Forms and PoliciesThere are several policies, information forms and questionnaires that all patients must read and complete before they see a physician on their first visit to a Valley Care Clinics location. You can download, print, read and complete those forms in the comfort of your home so that you can save time when you arrive at Valley Care Clinics.  

Authorization Release for Medical Records
Please download and print this form, then complete it so that we may provide records of your visit to other healthcare providers.
DOWNLOAD THE AUTHORIZATION RELEASE  >

Health History Questionnaire
Please download and print this form, then complete it before your first visit.
DOWNLOAD THE FORM >

Notice of Privacy Practice Acknowledgement
Please download and print this form, then complete it before your first visit.
DOWN THE POLICY ACKNOWLEDGEMENT  >

Patient Information Form
Please download and print this form, then complete it before your first visit.
DOWNLOAD THE FORM >

Statement of Privacy Practice
Please download and read this form, which describes how medical information about you may be used, and how you can get access to this information.
DOWNLOAD THE FORM >

 





 

 

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Insurance
Plans

Following is a list of contracted insurance companies that Valley Care Clinics accepts. This list is subject to change. We encourage you to always contact your insurance company prior to scheduling an appointment to confirm whether Valley Care Clinics is considered a preferred provider on your plan.

  • Medicare
  • Medicaid
  • Superior
  • Driscoll
  • United healthcare
  • Molina
  • BCBS
  • Aetna
  • Cigna
  • Well Med
  • Valley Baptist Health PPO
  • Hidalgo County
  • Healthsmart
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Valley Care Clinics is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.    

Valley Care Clinics
1400 W. Trenton
Edinburg, TX  78539
956-388-2007

PRIVACY POLICY / HIPAA STATEMENT
© 2017 Valley Care Clinics. All rights reserved.

Note:The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither Valley Care Clinics, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.     

The information, content and artwork provided by this Web site is intended for non-commercial use by the reader. The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. The making of additional copies is prohibited.

Valley Care Clinics are owned and operated by a subsidiary of Universal Health Services, Inc., and neither entity, nor any of UHS’s subsidiaries and other related companies, is part of, or in any way connected to ValleyCare Health System, ValleyCare Medical Center, or Valley Memorial Hospital of California. For those facilities, visit www.valleycare.com.