Patient Forms – Clovis Family Healthcare

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New Patient Forms

Release of Medical Records Form Page 1
Release of Medical Records Form Page 2
HIPPA Form 2022
Demographics 2022
New Patient History Form 2022

Your Health is Our Top Priority

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Contact Info

2301 N Martin Luther King Blvd
Clovis, New Mexico 88101
Clinic Phone Number: (575)-762-4455
Emergency Number: 911
Email: info@clovisfamilyhc.com

Clinic Hours

8:00am - 7:00pm (Mon-Thurs)
8:00am - 12:00pm (Fri)

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