7 days, 8AM-8PM • Phone Medical Center Location: 615.225.2070 • Phone New Salem Location: 615.900.1176 • Phone Memorial Location: 615.900.3515 • Phone Veteran Location: 615.962.7727
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Forms

Forms2024-04-18T20:04:09+00:00

Get the forms you need before you arrive.

New Patient Registration Form

Download the form, fill it out and print it to have a hard copy that you bring to the clinic.  

Medical Information Release Form

Download the form, fill it out and print it to have a hard copy that you bring to the clinic.  

Medical Records Transfer Form

Download the form, fill it out and print it to have a hard copy that you bring to the clinic.  

TSSAA Physical Form
TSSAA Physical Form Special Needs
GUC Privacy Practices
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