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Patient Forms

Patient Resources

New Patient Packet

All new patients of Creek Valley Health Clinic need to fill out new patient information forms before their first appointment. In order to streamline the check-in process, you can print the forms here and fill them out before you come in. Along with your new patient forms, please bring in proof of income to qualify for our Healthshare Discount Program. This can be a paycheck stub, bank statement, letter from your employer, or other documentation of your household income.

Because of COVID-19, also known as the coronavirus, we are trying to limit the amount of paper we receive in the clinic. We have made the new patient packets listed here into fillable PDF forms. You can download them directly to your computer and fill them out electronically. During your telehealth visit, we can request an upload of the filled forms, eliminating the amount of paper transfer into the clinic.