To ensure that we have all of your current demographic and health information, we have included the following forms for you to complete. To view the form, please click on the form name:
New Patient Forms
New Patient Packet
Release Of Information Forms
Authorize Clay Platte Family Medicine Clinic to furnish records to another provider
Authorize Clay Platte Family Medicine Clinic to receive records from another provider
Physical Forms
Female Physical Forms
Male Physical Forms
Diabetes Management Forms
Cholesterol Information
Daily Caloric Needs
Diabetes Goals
Glucose Logbook
My Activity Diary
My Food Diary
We appreciate that time that you take to compete these documents in advance. By decreasing the amount of paperwork that you need to fill out when you arrive at our office, we are able to start your visit with your provider sooner.
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