Online Forms

At Muskogee Family Medicine, we value your time. In an effort to save you time in our office, you can complete our patient form(s) prior to your appointment. We have multiple options for completing your forms as described below. You may need AdobeReader® to download print the forms. Click here to download for free.

You may choose to:

  1. Print the form, complete on paper and bring with you to your appointment
  2. Complete the form online

New Patient Form

If you are new to our clinic, please complete these forms to provide your demographic and health history information.


Download and Print Forms

Patient Information Form

Please complete this form to provide or update you patient information.

Download & Print Form

Fill Online



Authorization for Release of Medical Records

Please complete this form to request your records from our clinic or to allow us to request records from another facility on your behalf.

Download & Print Form

HIPAA Privacy Notice

Please complete this form to authorize person(s) access to you protected health information as needed.

Download & Print Form

Fill Online


Email Consent Form

Please complete this form to authorize protected health information to be sent via email as needed.

Fill Online


Regular Business Hours

Monday:

8:15 am-5:00 pm

Tuesday:

8:15 am-5:00 pm

Wednesday:

8:15 am-5:00 pm

Closed for lunch 12:00-1:15

Thursday:

8:15 am-5:00 pm

Friday:

8:15 am-4:00 pm

Saturday:

Closed

Sunday:

Closed