Forms
MyCare PHC uses the following forms when a new member joins the practice. We make them available here to members, and to those of you who are considering becoming members:
- MyCare PHC Registration Form
- Health History – Adult
- Health History – Pediatric
- Notice of Privacy Practices
- Acknowledgement of Receipt of Privacy Policy
- Request for Transfer of Medical Records
All forms open as PDF files in a new window.
