Patient Information and Forms

Welcome!

We are so happy that you have chosen Highland Medical Center as your primary care home. Our staff consists of highly qualified clinical care team and support professionals working together to provide the highest quality of care. We look forward to providing all of your primary care needs.

Getting Started:

  • Schedule an Appointment
  • Prepare for Your First Appointment:
    • Be sure to bring along any medication you are currently taking.
      To save time, please complete all of the forms at this link and bring them with you to your first appointment. These forms are located in the Forms tab on this page.
    • If you are transferring your medical records, please complete the “Release of Medical Records” form and send it to your previous provider so that we will have access to your medical records.
    • If you are applying to our Sliding Scale Program, bring along ALL of your proof of income information so there is no delay in approving your application.

 

Call to Make an Appointment:

(540) 468-6400

Our Medical Office Hours are:

  • Mon | 8:00 am – 4:00 pm
  • Tue  | 8:00 am – 7:00 pm
  • Wed | 8:00 am – 4:00 pm
  • Thu  | 8:00 am – 7:00 pm
    • 1st Thursday we are closed between 12pm – 1pm
  • Fri    | 8:00 am – 4:00 pm

 

After Hours:

(540) 468-6400

 

Call to Make an Appointment:

(540) 468-6435

  • Mon | 8:00 am – 4:00 pm
  • Tue  | 8:00 am – 7:00 pm
  • Wed | 8:00 am – 4:00 pm
  • Thu  | 8:00 am – 7:00 pm
    • 1st Thursday we are closed between 12pm – 1pm
  • Fri    | 8:00 am – 4:00 pm

Valley Community Service Board
(540) 887-3200

Crisis Hotline
(540) 885-0866 or (866) 874-7475

 

HMC Dental Care will be suspending dental services in November 2022, operating on a referral basis to sister Health Centers. Rest assured that we continue to explore all options to continue providing the excellent dental care that our patients are used to receiving.

Click here to see a list of alternate dental offices. [PDF]

 

Call to Make an Appointment for General Dental Care for Adults, Babies and Children:

(540) 468-6440

  • Mon | 8:00 am – 4:00 pm
  • Tue  | 8:00 am – 7:00 pm
  • Wed | 8:00 am – 4:00 pm
  • Thu  | 8:00 am – 7:00 pm
    • 1st Thursday we are closed between 12pm – 1pm
  • Fri    | Closed

HMC is a Smiles For Children Medicaid Provider

 

Call with New Prescriptions and for Refills:

(540) 468-6421

Toll Free:  (844) 468-6400

Fax:  (540) 468-3318

HMC Pharmacy Hours

  • Mon | 9:00 am – 5:00 pm
  • Tue  | 9:00 am – 7:00 pm
  • Wed | 9:00 am – 5:00 pm
  • Thu  | 9:00 am – 7:00 pm
    • 1st Thursday we are closed between 12pm – 1pm
  • Fri    | 9:00 am – 5:00 pm

Call to Make an Appointment:

(540) 468-6430

  • Mon | 8:00 am – 4:00 pm
  • Tue  | 8:00 am – 7:00 pm
  • Wed | 8:00 am – 4:00 pm
  • Thu  | 8:00 am – 7:00 pm
    • 4th Thursday we are closed between 12pm – 1pm
  • Fri    | 8:00 am – 4:00 pm

*the wellness center is closed due to OSHA emergency regulations.

 

 

Patient Forms Information

  • Click to download a form that you can print (some can be filled out on the computer and then printed).
  • Note: Please do not email your completed form to us unless instructed to do so.
  • If nothing happens when clicking, and your browser is set to “download” instead of open PDFs, you may need to save the pdf to your device first by right-clicking or tap and holding and choosing to “Save target as/Save link as” and then opening from the saved location.
  • We are updating the rest of our online forms. Please ask about other forms when you are making an appointment. Thank you.
  • If you fill this out electronically, It is highly recommended to use Adobe Reader, you can get it by here (uncheck the optional offers).

 

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