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For Patients

Forms

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

Medical Records Release Form (.pdf)
Health History Questionnaire (.pdf)
Notice of Privacy Practice Acknowledgement (.pdf)
Patient Information Form (.pdf)
Statement of Privacy Practice (.pdf)