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Healthy Living starts with you - whether that's good hygiene or keeping an active lifestyle. There's a lot to know, and Memorial Clinical Associates is here to help. Enter your e-mail below to receive health tips, stay updated on healthcare news, treatments and insights from our doctors.

 

Diabetes Care Recognition

Awarded to Memorial Clinical Associates on Achievement of Recognition for Excellence in the Delivery of Quality Care by IPRO.


Memorial Clinical Associates | Forms & Policies

Forms & Policies

Before visiting our office for the first time, please print out the forms below and fill in the appropriate information. This is for the convenience of our patients on your first visit and allows us to serve you more efficiently.


Click here to download the New Patient Form.
Please download and fill out the New Patient form, and bring it with you to your appointment.

Click here to download the Medical Release of Records Form.
This form authorizes Memorial Clinical Associates to release medical records to another healthcare provider.

Click here to download the Patient Contact Permission Form.
This form authorizes Memorial Clinical Associates to contact you or your guardian in regards to all medical results, inquiries and office/medical related issues.

Click here to download the Privacy Notice Form.
This policy notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact us by clicking here. This notice describes the privacy practices at Memorial Clinical Associates.

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