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Tell us about your medical history
Your medical history is important
Download this two page form to tell us about your medical history. Once you fill these out, you can bring them to your first visit or email them to our office at register@personalmd.net
For Primary Care Patients
Primary Care Patients Only: Download your Personal MD Medical Care contract
This two-page form is for patients that are signing up for primary care services. If you are only coming for weight loss, aesthetics, or hormones, you do not need to fill out this form. Bring these forms to your first visit. Do not email them to us since email is not a secure way to communicate.