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Forms


 

 INSTRUCTIONS


What to bring on your first visit

  1. Current Insurance card
  2. Photo ID
  3. Current medication list or medication bottles
  4. Copies of previous medical records, if available
  5. Completed paper forms OR complete our online forms through the patient portal link. 

 

Premier Medical Care strongly encourages all our patients to take advantage of new technology and enter your information securely and safely in our Patient Portal.


 MEDICAL FORMS

 Click to download the New Patient Package for those with Medicare

 Click to download the New Patient Package for those with other insurances (NOT Medicare)

Location
Premier Medical Care
4428 Commercial Way
Spring Hill , FL 34606
Phone: 352-340-2635
Fax: 352-597-7803
Office Hours

Get in touch

352-340-2635