Radcliff Urgent Care Clinic

Patient Forms

The providers and staff at Radcliff Urgent Care Clinic welcome you as a new or returning patient. For your convenience, please print and fill out all applicable forms and present them to the front desk when you arrive for your office visit.

At Radcliff Urgent Care Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your visit.

  • Click on the links below to open and print out the form(s).
  • Complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your visit. Our Fax number is (270) 352-4600.

Sports Physical

Radcliff Urgent Care - Radcliff, KY Patient Forms

Fax Completed Forms to:

(270) 352-4600