The New Patient Packet contains forms which must be completed prior to seeing the clinician. Two of the forms must be returned to MCLA at least 3 days before the appointment. Please follow the instructions carefully and remember to bring the requested items.
Please Note: Typing your name to the pages in this document makes this document legal and binding.
To request release of your medical records from MCLA to a third party, download this form and bring it with you to the office.
You may use this form to authorize having your records sent to MCLA.