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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. 

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Flu Consent Form

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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

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Address:

Orthopedic & Sports Medicine Center Urgent Care

1306 Platte Falls Rd STE C

Platte City, MO 64079

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