Patient Forms

We are currently accepting new patients. If you are a new patient, or would like to become one, please have a look at the important documents below. Filling these documents out in advance and being aware of our policies will make your first appointment faster and smoother.

New Patient Packet – If you are a new patient, please print out and fill out this form before your first visit. Please bring it with you for your scheduled appointment.

Medical Records Release – This document allows past doctors or specialists to release your medical records to Mill City Medical Group.

Worker's Compensation Form

Please print out and complete this form if you are being seen in relation to a claim for Worker’s Compensation Insurance. Please bring the completed form with you to your visit.

Auto Accident Information Form

Please print out and complete this form if you are being seen for reasons relating to an automobile accident. Please bring the completed form with you to your visit.