Patient Information

From online bill pay to online registration, Physicians Quality Care offers several services as a convenience to patients to make your visit the most enjoyable possible. Most of our care is provided on a walk-in basis, but we do accept appointments for several services.

Online New Patient Registration

  • If you are a new patient, please fill it out the New Patient Form online.
  • When you arrive at the clinic, you will be asked to read and sign the HIPAA privacy policy, a financial agreement and a self-pay agreement (if you do not have medical insurance or will be paying for this clinic visit yourself). To expedite your registration when you arrive at the clinic, you can download PDF of the form, fill it out, sign and bring it with you.
  • Download the HIPAA and Policies Form.

Reserve a Place in Line

If you have been to our clinic before, you may click here to reserve your place in line from home. When you arrive, you'll be placed near the top of the waiting list.

Your Visit

  • Please bring your driver’s license (or another form of picture identification) and your insurance card with you when you come to the clinic. When you get here, we’ll need to see both and confirm your birth date.
  • When you get here, you may come in, register, and leave. Our patient concierge will take your cell number and text you when it’s your turn to be seen.

Online Bill Payment

You can pay your bill online. Click here for our secure online bill pay.

Medical Release:

You may need your medical records released from your provider to Physicians Quality Care or from us to another health provider. We have online PDFs of three options for releasing medical records. Please download, sign and bring to the clinic the option that covers your needs.

  • Release of your medical records from Physicians Quality Care to another provider. Download PDF.
  • Release of your medical records from another provider to our JACKSON clinic. Download PDF.
  • Release of your medical records from another provider to our MILAN clinic. Download PDF.


For information on how we protect your privacy, click here.

Other Forms/Information