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PATIENT FORMS

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NEW PATIENT

​New Patient Form

To speed up your first appointment, please print out and complete New Patient Paperwork and bring it with you to your appointment.

 

MSHAAPhysical Form

The Wellness Center  offers sports physicals in compliance with MSHAA.  If your son or daughter requires a sports physical, simply contact us at 816-858-2167 to make an appointment. Please bring your completed form with you to your appointment. 

Flu Consent Form

Flu Vaccine Information Sheet (VIS)

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WEIGHT LOSS

This website is intended for educational purposes only.  Please consult your primary care physician before making any health changes.

© 2025 by Platte County Wellness Center.  All rights reserved.

Telephone: 816-858-2167

Fax: 855-618-2465

Email: info@pcr3wellnesscenter.com

Address:

Orthopedic & Sports Medicine Center Urgent Care

1305 Plaza Ct

Platte City, MO 64079

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