(423) 929-2584 Home Providers Services Locations My Medical Care About Patient & Referral Forms Patient Portal Our Patient Portal is a free-to-use service that allows you to view your important medical information from wherever you are, through your own web browser. If you do not yet have an account on our Patient Portal, a Medical Care representative will help you create one at your next visit. All you need is a valid email address. With our Patient Portal you can: Request Appointments | Request Prescription Refills | Send Messages | View Medical History | Update Demographics Website Home Providers Services Locations My Medical Care Patient Portal About Locations 1500 West Elk Avenue Elizabethton, TN 37643 401 East Main Street Johnson City, TN 37601 437 Hwy 321 Hampton, TN 37658 Contact Call or Text: 423-929-2584 Fax: 423-722-2060 Email: DO NOT EMAIL MEDICAL DATA info@medicalcarepllc.com Employees Employee Login © 2019 Medical Care PLLC | All Rights Reserved

(423) 929-2584 Home Providers Services Locations My Medical Care About Patient & Referral Forms Patient & Referral Forms Registration Forms Save time at your next visit by printing out and completing your Patient Registration Form and Patient Privacy Form in advance. 2021 Patient Registration Forms – English 2021 Patient Registration Form – Spanish Medical Records Release Form If you are a new patient or have been seen by another physician, we will need your medical records to provide you with the best health care. Avoid a trip into our office by printing out this Medical Records Release Form and mail, fax, or deliver it to your previous physicians so we will have your complete medical history ready for your next visit. You may also use this form to request that records be sent from Medical Care to another physician’s office. Medical Records Release Form Viewing forms may require Adobe Acrobat Reader. The program is available via free download at Adobe.com. Radiology Request Form Referring Physicians: Print and complete the document linked below to request Radiology studies to be performed at Medical Care, PLLC. For questions or more information, please call the Medical Care, PLLC Radiology & Imaging office at (423) 431-0315. Radiology Request Form Patient Portal If you need access to your medical records to print them off, or even to just view them, the easiest way is to sign up for our Patient Portal. With the Patient Portal, you will have convenient access to most of your medical information from Medical Care (including lab results, imaging results, and your medical history) from the comfort of your web browser. You can also update any demographical information that we may have incorrect. Medical Care Patient Portal Website Home Providers Services Locations My Medical Care Patient Portal About Locations 1500 West Elk Avenue Elizabethton, TN 37643 401 East Main Street Johnson City, TN 37601 437 Hwy 321 Hampton, TN 37658 Contact Call or Text: 423-929-2584 Fax: 423-722-2060 Email: DO NOT EMAIL MEDICAL DATA info@medicalcarepllc.com Employees Employee Login © 2019 Medical Care PLLC | All Rights Reserved