Home
About Us
The Coordinated Care Model
- Collaborating to Provide High-Quality Medical Care
- How Coordinated Care Helps
FAQ
Locations
Contact Us
- Forms & Links

Onsite Health Care for Seniors,
Peace of Mind for Families

(800) 873-0561

Lisa Burns

Posted on Thu, Dec 19, 2013

Forms

The following forms are available for your convenience:

Enrollment/Registration Packet
Authorization for Release of Medical Records
POLST (Provider Orders for Life Sustaining Treatment)
Advanced Care Planning
UCare Clinic Change Request
HIPAA Notice of Privacy Practices

Contact Us

The Consultative Health and Medicine team is conveniently available at:

Main number:	(800) 873-0561
In a medical emergency:	Dial 911
After hours/weekends:	(800) 873-0561
– Answering service for urgent needs. – Voicemail system for non-urgent needs.
Fax:	(866) 404-2579
Email:	info@consultativehealth.com

Testimonials

More Testimonials »

Forms

The following forms are available for your convenience:

Enrollment/Registration Packet
Authorization for Release of Medical Records
POLST (Provider Orders for Life Sustaining Treatment)
Advanced Care Planning
UCare Clinic Change Request
HIPAA Notice of Privacy Practices

©2013 Consultative Health and Medicine | Privacy Policy