Patient Information
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.