Patient Forms patient Forms Emergency Hospitalists Patient Portal Click any item below to download the form in PDF format. General Patient Forms Welcome to Paradise Valley Medical Clinic! Our New Patient Form Packetfillable – Complete & Print Our Summary of Patient Office & Financial Policy Information – fillable- Sign & Print Our Patient Medical history/surgical conditions & Medications Past/Current Form – Fillable – Complete & Print Our Patient PVMC Disclosing Release of Medical Records Form – Complete & Print – fillable format Our Patient PVMC Recipient Release of Medical Records Form – Complete & Print – fillable format Our Patient Notice of Privacy Practices/disclosure of protected health information our patient notice for Out of network insurance (OON) Plans policy Medicare Annual Pre-Physical Screening Form & Recommended Adult Immunizations Our Patient medicare annual pre-physical screening form – fillable – complete & print Our Patient recommended adult immunizations list for your review Pain/Controlled Medication Forms Our Patient Pain/Controlled Medication Expectations of Patient/Caregiver Form – Fillable – Complete & Print Our Patient Pain/Controlled Medication Checklist Contract Form – Fillable – Complete & Print Genetic Screening/Testing – Questionnaire & Quiz Our Patient Genetic screening/testing – questionnaire & quiz Covid-19 Pre-office Visit Screening Guideline PVMC COVID-19 office appointment pre-screening questionnaire GUIDELINE
