FORMS

Patient Demographics
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Notice of Privacy Practices
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Patient Contact Information Sheet
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Financial Policy
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Medical History
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Authorization to Disclose Health Information
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FORMS

AtLast Cover Letter
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AtLast Patient Agreement
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AtLast Patient Paperwork
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If you are already a patient at Express Care or Medical Associates, you only need to complete the AtLast Patient Forms below.

 

If you are not currently a patient of Express Care nor Medical
Associates,
please complete the Express Care Patient Forms above as well.

E-Prescribing PBM Consent
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Locally Owned & Operated    Highly Trained Staff    Most Insurances Accepted

Express Care of the Shoals

1106 N Cave St

Tuscumbia, AL 35674

For Life-Threatening Emergencies Call 911
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