GET STARTED
Book your Pacific Medical Care appointment online. Easy. Convenient. Hassle-free.

GET STARTED
Book your Pacific Medical Care appointment online. Easy. Convenient. Hassle-free.

Patient Info

Below you will find our insurance list for the office treatment along with our downloadable patient forms. These will download as an Adobe Acrobat PDF. Or you may visit our Patient Portal to register!

PMC Notice of Privacy Practices

Download

PMC Work Comp form PDF EDITABLE

Download

PMC New Patient Packet PDF Editable 2016

Download

PMC Established Patient Intake Forms

Download

Pain Treatment (Supplement) Patient Intake Form

Download

Consent to Disclose Health Information

Download

Controlled Substance Prescription Agreement

Download

Imaging Healthcare Specialists MRI CT Order Form

Download

New Patient Intake Registration Form

Download

Urgent Care Consent Form

Download

Patient Registration Forms

Download

  • UHC
  • Molina Medicare
  • Tricare
  • Tricare for Life
  • Medicare
  • Aetna
  • Cigna
  • Fresenius
  • Multiplan
  • Prime Health Services

Visit our
Patient Portal
to register