We’re excited you have chosen to become a member at Parker Medical. When you become a patient at Parker Medical through membership, you’ve enrolled at a practice that is centered around you and your health. To continue the enrollment process please use the links to the forms below. You may complete the forms in any order, but we request you finish completion of all forms prior to your first office visit. When clicking on a below link, your browser will open a new window for the form selected. Once your form is complete, close the window and return to this page for the next form.
- Patient Intake
- Patient Consent
- Request and/or Release of Medical Information
- Health Questionnaire
- Electronic Communications Agreement for Personal Health Information
For more information or questions about our practice, please visit our FAQs page or call the office at (702) 778-2204.