Patient Forms

 

 

Use this if you are a new patient to our practice or if you have not been seen in over 3 years.

 

 

 

 

This form allows you to receive your medical records or have your medical records sent to Ocala Family Medical Center from another Provider.

 

 

 

 

This form needs to be filled out by a Parent or Guardian in order for your child to receive medical care and treatment without you being present.

 

 

 

 

If you wish to join or come to our Walk with a Doc program on Saturday mornings at our main office, please fill out and bring this release with you.

 

 

 

The FAA MedXPress system allows anyone requesting an FAA Medical Clearance, Medical Certificate, or Student Pilot Medical Certificate to electronically complete an application.

New Patient Forms

Medical Records Release

Authorization for Consent to Medical Care for Minors

Walk with a Doc Liability Release