Wakulla Urgent Care
Diagnostic Center

Forms & Links


Please click on the following forms below to print.  New patients need to print and complete the first 3 sets of forms prior to your very first appointment to reduce your waiting time.  You will also need to bring with you your health insurance card(s) and picture identification (such as a Drivers License).

    1.    Registration/Consent Forms

    2.    Health History

    3.    Patient Bill of Rights & Responsibilities & Patient Portal

    4.    Medical Records Release Form

    5.    Advance Directives Form




American Heart Association

General health information as well as detailed for ensuring a healthy heart.


Center for Disease Control

Information on general health and safety topics.


World Health Organization

Health guidelines and updates from this international group.


Kids Health

Targeted information for kids about staying healthy, dealing with feelings… growing up and more.


National Women’s Health Organization

Reference information, referrals and general health guidelines created specifically for women.


Caribbean American Medical Educational Organization, Inc. (CAMEO)

Dr. Keen’s organization that does medical missions to the Caribbean.



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