Downloadable forms
Save time with MedCheck WebAhead
MedCheck WebAhead is a free online appointment scheduling service to help you avoid wait times. Use your computer or smartphone to schedule online anytime and speed up the registration process.
This free service is available for all MedCheck walk-in clinic locations. Available appointments are posted for each MedCheck location in real time so you can choose one that is most convenient for you. Schedule an appointment now! (mobile site)
After you've scheduled your appointment with MedCheck WebAhead, save even more time by filling out your forms before you arrive at the MedCheck clinic. Download, print and complete the forms you need below (Adobe Reader required).
Patient Information / Registration
Required for every MedCheck visit, your patient information and registration form includes personal, financial, insurance and consent information.
IHSAA Pre-Participation Physical Evaluation Form
Before participating in sports at school, your child must provide a completed and signed physical evaluation form from his or her physician or other medical care provider. These physical evaluations may be obtained at any MedCheck location.
Parental Consent for Treatment of a Minor Form
Although you probably have someone to care for your children when you're going away, it's a good idea to make sure their health care needs are taken care of as well. By completing this form and providing all the proper signatures, you are granting permission for Community Health Network and our medical staff to provide medical assistance to your child when that child is under someone else's care.