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*A fee may be incurred for copying records. Please call our office to inquire.

Consent Forms

Want to pay a certain amount towards your bill each month?

Read the below sections to see which forms you might need. 

Southeast Medical Clinic 

"It seems like you guys really work as a team."

"Thank you for providing me with excellent medical care. I appreciate your attention to details that could have easily been overlooked or disregarded. You're the best!"

Forms for patients entirely new to the clinic:

Please print these and bring them to your first appointment, along with your current insurance card and ID: