Patient Forms for the York Medical Clinic, P.C. in York, NE

---

Please use the buttons below to download and print any of the following PDF patient forms for the York Medical Clinic.

Patient Rights and Responsibilities

Sports Physical Form

Patient Information Form

New Patient Health History Form

Medical Release Form to YMC

Medical Release Form From YMC

Authorization to Release Protected Health Information

Preschool Physical Form

Kindergarten Physical Form