Patient Forms

 
Please click one of the links below to complete the appropriate paperwork prior to your visit. We will be happy to review them with you in detail. We look forward to meeting you!

New patient intake form 

Pre-surgical intake form

IME INTAKE FORM

Medical Marijuana Consent Form

MEDICATION UPDATE

FORM

Patient Scales

ADHD SCALES

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ALCOHOL SCALES

IME SCALES:

PSYCHIATRY & ADDICTION

IME SCALES:

PAIN MANAGEMENT

Financial Forms

Credit card auth

OFFICE HOURS
CARE CLINIC MD
CONTACT US

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9:00 AM - 5:00 PM

7 days a week

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24 Hours / 7 Days a Week

Emergency and New Patients

 

LOCATIONS
OH, VA, WV, MD, FL, AZ, NV, TN, KY

© 2020 by The Care Clinic

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