30694 Hwy 72 Suite E • Madison, AL 35756 256-230-6130

  • Home
  • ABOUT US
    • OUR CLINIC
    • OUR PROVIDERS
  • SERVICES
    • PRIMARY & URGENT CARE
    • WEIGHT LOSS
    • SCHOOL/SPORTS PHYSICALS
    • COVID TESTING
  • FORMS
    • NEW PATIENT PACKET
    • MEDICAL RELEASE FORM
    • SPORTS PHYSICAL
    • PEEHIP WELLNESS
    • BUS DRIVER PHYSICAL
  • CONTACT US
  • MAKE A PAYMENT
  • More
    • Home
    • ABOUT US
      • OUR CLINIC
      • OUR PROVIDERS
    • SERVICES
      • PRIMARY & URGENT CARE
      • WEIGHT LOSS
      • SCHOOL/SPORTS PHYSICALS
      • COVID TESTING
    • FORMS
      • NEW PATIENT PACKET
      • MEDICAL RELEASE FORM
      • SPORTS PHYSICAL
      • PEEHIP WELLNESS
      • BUS DRIVER PHYSICAL
    • CONTACT US
    • MAKE A PAYMENT
  • Home
  • ABOUT US
    • OUR CLINIC
    • OUR PROVIDERS
  • SERVICES
    • PRIMARY & URGENT CARE
    • WEIGHT LOSS
    • SCHOOL/SPORTS PHYSICALS
    • COVID TESTING
  • FORMS
    • NEW PATIENT PACKET
    • MEDICAL RELEASE FORM
    • SPORTS PHYSICAL
    • PEEHIP WELLNESS
    • BUS DRIVER PHYSICAL
  • CONTACT US
  • MAKE A PAYMENT

Community Urgent Care of Madison

Community Urgent Care of Madison Community Urgent Care of Madison Community Urgent Care of Madison

Where compassion meets convenience

Where compassion meets convenience Where compassion meets convenience Where compassion meets convenience

Medical Release Form

Page three of this document contains the medical release form. Please sign this and turn it into the front office if there is a need to forward your results to any specified physicians office.

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