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539 S.E. 2nd Street | Tulia, TX 79088 | P: 806.995.3581


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New Patient Forms


Child- Minor (17 & under)

Medical Release Form

Child Information Form

Immunization Consent Form

Medical History Form

Patient Information Form

Adult (18 & up)

Medical Release Form

Immunization Consent Form

Medical History Form

Patient Information Form

Contact Us

539 S.E. 2nd Street
Tulia, TX 79088
Phone: 806.995.3581

 

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Swisher - Caring For Our Community 24 / 7 - Nurse Advice Line is 877-785-1435

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