Patient Forms
Thank you for selecting Cardinal Urgent Care for your urgent medical needs. To help our patients streamline their time with us, we offer the following forms and other patient resources.
Downloadable Forms:
- Medical Examination Report form – used for the certification of commercial drivers
- NCHSAA Sport Preparticipation Exam (PPE) form – used to participate in North Carolina High School Athletic Association sports (not a substitute for a regular physical exam by your child’s primary care provider) and instructions
- Patient Bill of Rights – a list of rights all patients are entitled to
- Patient Privacy Notice
- FMLA Authorization
- Authorization for Release of Information
- Patient Records Policy
- Medical Record Request Fee
- Patient Forms Policy
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.