Patient & Referral Forms

Established Patients

Take advantage of our NEW Online Registration System. Click HERE to update all your information before your appointment!

  • Upload your Photo ID and Insurance care HERE

New Patient Registration Forms

Save time at your next visit by printing out and completing your Patient Registration Form and Patient Privacy Form in advance.

Medical Records Release Form

If you are a new patient or have been seen by another physician, we will need your medical records to provide you with the best health care. Avoid a trip into our office by printing out this Medical Records Release Form and mail, fax, or deliver it to your previous physicians so we will have your complete medical history ready for your next visit. You may also use this form to request that records be sent from Medical Care to another physician’s office.

Viewing forms may require Adobe Acrobat Reader. The program is available via free download at

Radiology Request Form

Referring Physicians: Print and complete the document linked below to request Radiology studies to be performed at Medical Care, PLLC. For questions or more information, please call the Medical Care, PLLC Radiology & Imaging office at (423) 431-0315.

Patient Portal

If you need access to your medical records to print them off, or even to just view them, the easiest way is to sign up for our Patient Portal. With the Patient Portal, you will have convenient access to most of your medical information from Medical Care (including lab results, imaging results, and your medical history) from the comfort of your web browser. You can also update any demographical information that we may have incorrect.