There 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 >