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Urgent After Hours Care Available

(435) 878-2281
Enterprise Valley Medical Clinic
Healthcare for the Enterprise Valley
Enterprise Valley Medical Clinic
  • About Our Clinic
    • Services
    • Providers
    • Staff
    • Blog
  • Patient Services
    • Request an Appointment
    • Patient Portal
    • Patient Survey
  • Mental Health
  • Forms
  • Contact
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  • About Our Clinic
    • Services
    • Providers
    • Staff
    • Blog
  • Patient Services
    • Request an Appointment
    • Patient Portal
    • Patient Survey
  • Mental Health
  • Forms
  • Contact

Patient Forms

New Patient Registration
Adult Health History Form
UHSAA Sports Physical Form
CDL Medical Examination Report Form
Sliding Scale Information
HIPPA Authorization Form
Medical Consent for Minors
Privacy Policy
Employment Application
Contact Us:
  • Email:
    staff@evmc.org
  • Phone:
    (435) 878-2281
  • Fax:
    (435) 878-2434
  • Address:
    223 South 200 East,
    Enterprise, UT
Enterprise Valley Medical Clinic

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