Patient Resources

Tools and Information for Your Health Journey

At Extra Care Concerns Family Medicine Clinic, we are committed to empowering our patients with the resources and knowledge they need to take charge of their health. Below, you'll find important forms, guides, and answers to frequently asked questions to make your visit as smooth as possible.

New Patient Form

Save time during your first visit by completing your paperwork in advance.

Other Forms

Use this form to complete additional requests such as the Allergy Questionnaire or a Request for Release of Medical Information. Select the appropriate form from the dropdown menu to get started.

Frequently Asked Questions

Visit our FAQ page for detailed answers to all your questions about appointments, insurance, services, and more. We’re here to make your experience at Extra Care Concerns as smooth as possible.

Medicare Annual Wellness Form

Medicare requires patients to complete this form at least once per year as part of their Annual Wellness Visit. Please fill it out before your appointment to help us provide the most thorough care.

Document Upload

Use this form to securely upload your medical, insurance, or identification documents to Extra Care Concerns.
All uploads are encrypted and handled in compliance with HIPAA privacy standards to protect your personal health information.

Chronic Care Management Form

Medicare and Medicaid patients with two or more chronic conditions may qualify for Chronic Care Management services. This program provides ongoing support between visits to help manage your health. Please complete this form to enroll.