Primehealth Medical Center, PC - Action News 5 - Memphis, Tennessee

Patient Forms

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

Download New Patient Registration Forms
Forms to be filled by all NEW PATIENTS


New Patient Checklist
Instructions for new patients office registration process and webview registration


Medical Records Release Form
Medical Records Release Authorization Form

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

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