top of page

Patient Forms

Get a head start on the paperwork​

Save some time. If you are a new patient, you can download and print our registration and policy forms and complete them before visiting either of our clinics. Provide the completed forms to the receptionist when you arrive.

EPMC Registration form

EPMC Registration Form

EMPC Financial Policy form

Financial Policy Form

EPMC HIPAA Privacy Notice

HIPAA Privacy Notice

Copyright 2026 Emergency Physicians Medical Center, LLC.  |  email: epmc@emergencypmc.com  

Website Accessibility: Liquid Creative Studio is committed to ensuring that its website is accessible to everyone, regardless of abilities. Assistive technology can be launched by tapping the person icon in the lower corner of your screen and can be adjusted to accommodate a variety of needs. If you are still experiencing difficulty accessing information on this site, please contact EPMC@emergencypmc.com to gain access to inaccessible online content or functionality. To file a formal grievance under Section 504 and Title II, please contact EPMC@emergencypmc.com.

EMPC logo
bottom of page