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Patient Forms for Medical Access Urgent Care in Germantown, MD, Woodbridge, VA, & Alexandria, VA

Medical Access Urgent Care’s Patient forms are provided to expedite your visit. Located at Germantown, MD, Woodbridge, VA, & Alexandria, VA. For more information call us at (301) 428-1070.

Following are the patient forms that we use at Medical Access:
You can click on the form and print out the PDF, or also complete the Fill-able form here. (Fill-able forms are being added soon.)

Patient Registration Forms

COVID-19 Forms

Note: Do not email any of these forms to us. They need to be faxed or printed and brought to our office. We don’t have secure email and we are not authorized to receive personal information via regular email.