Patient Forms


Save time at your visit by printing and completing your Patient Registration Forms in advance!


Take advantage of our NEW Online Registration System. Update all of your information before your appointment!

Once you updated your forms, upload a picture of our photo ID and your Insurance Card.

Medical Records Release Form

-We have partnered with MediCopy to fulfill Re-lease of Information requests. MediCopy is fully HIPAA compliant and adheres to all state and federal regulations concerning the release of medical information. Please provide an email address on the authorization to expedite the process and delivery method. Records sent via email, or to another provider, are complimentary. Requests are processed within two (2) business days after receipt by MediCopy.

If you have any questions regarding Medical Records, please call us at (423) 929-2584 ext. 598

Third-Party Requesters: 
To request medical records please visit

If you have any questions, please contact MediCopy:
online chat: | phone: 866-587-6274

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.


We love our patients and would love you at medical care!