Patient Information and Forms

Patient Information

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
    • 4th Thursday we are closed between 12pm – 1pm
  • Fri    | 8:00 am – 4:00 pm

 

After Hours:

(540) 280-5593
(existing patients only)

Call to Make an Appointment:

(540) 468-6435

  • Mon | 8:00 am – 5:00 pm
  • Tue  | 9:00 am – 7:00 pm
  • Wed | 8:00 am – 5:00 pm
  • Thu  | 9:00 am – 7:00 pm
  • Fri    |  8:00 am – 12:00 pm

Valley Community Service Board
(540) 887-3200

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

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  | 10:00 am – 7:00 pm
  • Wed | 8:00 am – 4:00 pm
  • Thu  | 9:00am – 7:00pm

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
  • Fri    | 9:00 am – 5:00 pm

Call to Make an Appointment:

(540) 468-6430

  • Mon | 8:00 am– 5:30 pm
  • Tue  | 8:00 am– 5:30 pm
  • Wed | 8:00 am - 4:00 pm
  • Thu  | 8:00 am– 5:30 pm
  • Fri    | 8:00 am– 5:30 pm

Patient Forms

Click to download a for that you can fill out on the computer and then print.

Note: Please do not email your completed form to us unless instructed to do so.

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 recommended to use Adobe Reader, you can get it by here.

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