For All of Life's Little
Medical
Emergencies
Mountain Medical Immediate Care
1302 NE 3rd Street
Bend, OR 97701
541-388-7799
No Appointment Necessary
8:00 – 7:00 M-F
10:00 – 4:00 Holidays
The Right Care, Right Away...
For your convenience please
click on needed form below to print, complete,
and bring with you to your visit.
- PATIENT REGISTRATION
- HIPAA CONSENT
- RECORDS RELEASE
- SCHOOL SPORTS PHYSICAL
- COLLEGE PHYSICAL
- PRE-EMPLOYMENT PHYSICAL
- OCCUPATIONAL HEALTH CONTRACT
- PARENT/Self DRUG TESTING
- TRAVEL DESTINATION HISTORY
- OSHA RESPIRATOR MEDICAL EVALUATION