KING FAMILY MEDICAL
If this is your first time visiting our office or if your medical information has changed, please fill out the form above and email it to reception1@kingfamilymedical.net.
The form above gives consent for treatment, services or other procedures as ordered by the physician. It also allows disclosure of medical information to a family member at a patient's request.
The form above gives authorization for release of health information for continuance of medical care, insurance purposes or other purpose designated by the patient.
This form gives consent for tele-health visits.