Family Medicine Center

Forms for the Methodist Charlton Medical Center

Before your visit to the Family Medicine Center, you can download, review, and complete the following forms. If you have any questions, you can ask them when you arrive for your appointment.

• Health History – Male
• Health History – Female
• Patient Registration
• Consent to Inpatient and/or Outpatient Admission and Treatment
• Consentimiento para el Ingreso y Tratamiento como Paciente Hospitalizado y/o Ambulatorio

All forms are in PDF format. If you cannot read the PDFs, download the free Adobe Acrobat Reader.