Internal Medicine & Pediatric Clinic
662-219-3557
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New Patient Packet

Internal Medicine & Pediatric Clinic prioritizes patient satisfaction and convenience, which is why we have made the patient forms below available for downloading, printing, and filling out for patients who want to save time prior to their visit. We highly recommend all patients to read the New Patient letter regardless of whether they fill out their forms before their visit. Click a link below to print directly from your browser.

Notice
All patients are required to show a current insurance card copy with every visit.

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What Our Clients Say About Us

  • We love our Impc Family!

    Best with my children, Always uplifting and they truly care!!

  • Top of the line place!! From the front desk, to the doctors and nurse practitioners, back of the house lab techs. So very professional!!! I will never ho anywhere else!!!.

  • The doctors and nurses at the clinic always do a wonderful job. They provide great care and attention to patients needs. I have never felt rushed at appointments when talking with my doctors; all of my questions are answered. I am so thankful for their care and dedication to their patients.

  • Great atmosphere! All staff members were cordial, informative and eager to give you the professional care for this visit!! Thanks, IMPA

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