ONLINE FORMS

Downloadable Forms

To request the release of medical information or to request your information be released to Panhandle Primary Care, please download and complete the appropriate form below.

New Patient Packet

Welcome to Panhandle Primary Care! To expedite your new patient registration, please complete the new patient packet below and submit online. If you would rather print a copy and bring the completed form to your appointment, please arrive 30 minutes prior to your scheduled appointment. New patients who submit their packet online only need to arrive 15 minutes early.