Patient Forms

Patient Forms

At MD First Primary and Urgent Care, we know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your medical background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us if you have any questions about patient forms or your appointment.

Please note that you’ll need the latest version of adobe acrobat to download all patient forms.

 Please download Adobe Acrobat to view/print forms

acrobat

Insurance Information

We Accept most major insurances. Some of them (but not limited to) are mentioned here. You do not require insurance to see your physician. Fees, co-payments, and insurance deductibles are due and payable at the time of service. Please have all your insurance information with you at each visit, since policies and coverage can change. Please notify us of any changes in your address or phone number.

  • BCBS NC
  • BCBS SC
  • BCBS Federal
  • BCBS State
  • Blue Choice
  • Medicare
  • Medicaid
  • Some Medicaid HMOs
  • Cigna
  • Cigna GWH
  • Aetna
  • United Health
  • Medcost
  • Kanawha
  • Tricare
  • Humana
  • Workman’s Comp