Assured Clinic. Healthcare You Can Trust.

7701 MDH EMAIL (pdf)

7702 MC FORM 1-3 (pdf)

7703 COVID-19 FORM (pdf)

7704 SURVEY FORM (pdf)

7705 PRIMARY CARE CONSENT (pdf)

7706 CLINIC REGISTRATION FORM (pdf)

7707 SUBOXONE AGREEMENT (pdf)

7708 MC RE-CERT FORM 1 (pdf)

7709 PEG SCORE 2023 (pdf)

7710 COVID-19 Registration (pdf)

7711 MC RECOMMENDATION LETTER (pdf)

8804 MODERNA EUA FACT SHEET (pdf)

8805 COVID-19 PRE-VACCINE SCREENING (14) (docx)

8806 EUA PFIZER 12 YEARS AND OLDER (pdf)