Effective October 1, 2016, Eufaula Pediatric Clinic will charge for the completion of forms when not completed at the time of service.

As an alternative you can use your patient portal account to request forms at NO CHARGE. If you do not have a patient portal account, please call us at (334) 619-0940.

An additional $20 will be charged for forms completed the same day (LIHEAP not applicable).

View Medical Release Form  

Downloadable PDF's

Alabama High School Athletic Association - Sports Physical Form

Florida Sports Physical Form

FT Rucker Sports Physical Form

Georgia - Sports Physical Form

Medical Release Form

COVID-19 Screening Form