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Patient Forms

Patient Forms

Here we have provided all the forms you may need to speed up the process during your visit.

  • New Patient Form
  • Adult Health History
  • Child Health History
  • Consent to Treat Minor
  • Medication List Sheet
  • Notice of Privacy Practices
  • HIPPA Form
  • Tennessee Sports Physical Form

Visit Us Today

No appointment is necessary—walk in and experience quality healthcare at Bradley-Polk Walk-In Clinic!
LEARN MORE
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Bradley-Polk Walk-In Clinic and Medical Center
119 Whitewater Drive
Ocoee, Tennessee 37361
(423) 299-9435
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CLINIC HOURS
Mon - Fri
8:00 am - 6:00 pm
Saturday
8:00 am - 2:00 pm
Sunday
Closed
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