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Hours: Monday - Friday 8 am - 6 pm
Saturday 8 am - 12 pm

83 Wellness Way, Benton, KY 42025 • (270) 527-8601

Please select from the following files available for download.

• Walk-in Form
• Patient Demographic and HIPPA Form
• Authorization for Release of Medical Information
• New Patient Request Form
• Medical Consent Form