Urgent Care 24h
Urgent Care 24h
  • Home
  • About us
  • Services
    • Family Medicine
    • Health Education and Counselling
    • Physiotherapy and Massage
    • Wound Dressing
    • Blood Pressure Control
    • Diabetes Management
    • Post Surgical Care
    • Care of the Elderly
  • Contact us
  • Home
  • About us
  • Services
    • Family Medicine
    • Health Education and Counselling
    • Physiotherapy and Massage
    • Wound Dressing
    • Blood Pressure Control
    • Diabetes Management
    • Post Surgical Care
    • Care of the Elderly
  • Contact us
  • Home
  • About us
  • Services
    • Family Medicine
    • Health Education and Counselling
    • Physiotherapy and Massage
    • Wound Dressing
    • Blood Pressure Control
    • Diabetes Management
    • Post Surgical Care
    • Care of the Elderly
  • Contact us
  • Home
  • About us
  • Services
    • Family Medicine
    • Health Education and Counselling
    • Physiotherapy and Massage
    • Wound Dressing
    • Blood Pressure Control
    • Diabetes Management
    • Post Surgical Care
    • Care of the Elderly
  • Contact us
Urgent Care 24h
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Information
+ 1 541-754-3010

Online Forms

Request Appointment >
+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form
To provide compassionate and dignified in-home care
that allows our clients to thrive in the comfort
of their own surroundings.

0906-599-5707

© 2025 Lee Home Carer.

All rights reserved.

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0903-572-0404