Vance Family MedicineVance Family MedicineVance Family MedicineVance Family Medicine
  • Hogar
  • Noticias
  • Medicina
    • La Clínica Ambulatoria
    • Pediátricos
    • Obstétrico/Ginecologíco
    • Geriátricos
    • Medicina Deportiva
    • Medicina Ocupacional
    • Vacunas
  • Educación para Paciente
    • Educación para Paciente
    • Formas Para Pacientes
  • Portal Del Paciente / Pagar Factura
  • Oficina
  • Nuestro Equipo
  • Contacta con Nosotros

Formas Para Pacientes

Patient Forms

Por favor, imprimir y llenar estos formularios antes de su visita.
Haz clic aquí para descargar los formularios en Acrobat Reader:

Consentimiento para la Divulgación de Salud Protegida Formulario de Información

Información de Registro

Pagador Secundario de Medicare (MSP) Formulario

Formas Historia de la Salud

Forma M-CHAT  - Edad 18 a 24 Meses

Forma de Sintomas Pediatricas

Vance Family Medicine place picture
Vance Family Medicine
4.7
Based on 713 reviews
powered by Google
review us on
Elaine profile pictureElaine
14:44 27 Nov 25
Geraldine Hayes profile pictureGeraldine Hayes
14:29 25 Nov 25
Everyone is so understanding and kind, making sure you are doing well,
christie Hammond profile picturechristie Hammond
18:02 24 Nov 25
The Doctors and nurses her are Amazing. Dr VU is my new best friend when it comes to my health
Ibeth Fonseca profile pictureIbeth Fonseca
17:42 24 Nov 25
Good doctor
Makaila Hunt profile pictureMakaila Hunt
15:47 24 Nov 25
They are such kind people and truly care about each patient. The receptionist are also very helpful and offer great service.
Danielle Terry profile pictureDanielle Terry
14:37 24 Nov 25
Corinthia Chappell profile pictureCorinthia Chappell
16:24 23 Nov 25
I’ve been a patient of Dr. VU’s for almost 40 years. Grateful doesn’t begin to describe my appreciation for his dedicated professionalism and sincere desire to help keep his patients healthy. His entire team is amazing. Dr. VU makes 74 feel great.
Photo from customer review
Queen Venable profile pictureQueen Venable
19:00 21 Nov 25
I love all my Doctors, they are a caring and dedicated Doctors, especially Dr VU, whom I see the most
Carlton Wilson profile pictureCarlton Wilson
20:26 19 Nov 25
Nice people that work there
Response from the owner 22:34 19 Nov 25
We are very happy to be of help in taking care of your health.Thank you for your positive input.
Pattie Barnette profile picturePattie Barnette
15:39 19 Nov 25
Dr Vu and his staff make you feel comfortable and taken care of. Recommend to family and friends.
Response from the owner 22:35 19 Nov 25
Thank you Pattie for choosing us as your primary care provider.
cassandra Ramey profile picturecassandra Ramey
06:31 17 Jan 23
I am very satisfied with the medical support at Vance Family Medicine and I recommend everyone to use the service to stay in good health. The staff members work collaborative to ensure the patients receive the best care on their visit and follow up with lab work.
If you want to know what is going on inside of the company, you should look at the top leadership. That is, Vance Family Medicine provides excellent heathy tips of wellness for any medical concern and for all family members .

The clinic accept walk-ins Sunday through Saturday , seven days a week, as well as, you can make appointments with specific physicians. For example, I appreciate Dr. Vu medical support in my life . His medical advise has improved my health over the years.
Happy News to the Reviews
Dale Hughes profile pictureDale Hughes
11:50 23 Dec 22
Nothing but positive things to say about the staff and providers at Vance Family Medicine. My family and I have been seen here for years. I have been a patient for almost 11 years. I’ve never had a negative experience with the staff or providers at VFM. They are exactly what our community needs and I am so thankful for their ability to be open on weekends and off hours, which seems to be exactly when sickness hits families with small children. Thank you again VFM!
Caitlin Pernell profile pictureCaitlin Pernell
15:02 21 Nov 22
I think that Vance Family Medicine is one of the best Medical Practices in the area. The providers at Vance Family Medicine are very knowledgeable, patient, and always so caring. My family & I have been patients here for over 20 years. We have seen many of the different providers and they all have been wonderful! It is easy to call and make an appointment with a provider of choice, and they also take walk ins. Their open hours are also impressive with staying open longer in the evening, weekends and some holidays. It’s true that no one really likes to have to go to see a doctor, but it is nice to know that when you are the patient and seen at Vance Family Medicine you will be well taken care of!
Stacey Garner profile pictureStacey Garner
15:09 28 Oct 22
I am so thankful for the excellent team of Providers at Vance Family (Doctors/ PA's/Nurses). I appreciate the kind and healing way they take care of me and my family. They are open 7 days a week and this helps me and my family very much to have access to care when needed.
Diamond Anderson profile pictureDiamond Anderson
18:04 27 Oct 22
I love how community driven Vance Family Medicine is. Kuddos goes out to the staff, especially during the outbreak of the Covid-19 pandemic. All of the staff are especially nice. The young lady Ms. Dominique that handles prior authorizations is always so professional and she has a lot of knowledge in her area of work.
© 2021 Vance Family Medicine. All Rights Reserved.
    Vance Family Medicine place picture
    Vance Family Medicine
    4.7
    Based on 713 reviews
    powered by Google
    review us on
    Elaine profile pictureElaine
    14:44 27 Nov 25
    Geraldine Hayes profile pictureGeraldine Hayes
    14:29 25 Nov 25
    Everyone is so understanding and kind, making sure you are doing well,
    christie Hammond profile picturechristie Hammond
    18:02 24 Nov 25
    The Doctors and nurses her are Amazing. Dr VU is my new best friend when it comes to my health
    Ibeth Fonseca profile pictureIbeth Fonseca
    17:42 24 Nov 25
    Good doctor
    Makaila Hunt profile pictureMakaila Hunt
    15:47 24 Nov 25
    They are such kind people and truly care about each patient. The receptionist are also very helpful and offer great service.
    Danielle Terry profile pictureDanielle Terry
    14:37 24 Nov 25
    Corinthia Chappell profile pictureCorinthia Chappell
    16:24 23 Nov 25
    I’ve been a patient of Dr. VU’s for almost 40 years. Grateful doesn’t begin to describe my appreciation for his dedicated professionalism and sincere desire to help keep his patients healthy. His entire team is amazing. Dr. VU makes 74 feel great.
    Photo from customer review
    Queen Venable profile pictureQueen Venable
    19:00 21 Nov 25
    I love all my Doctors, they are a caring and dedicated Doctors, especially Dr VU, whom I see the most
    Carlton Wilson profile pictureCarlton Wilson
    20:26 19 Nov 25
    Nice people that work there
    Response from the owner 22:34 19 Nov 25
    We are very happy to be of help in taking care of your health.Thank you for your positive input.
    Pattie Barnette profile picturePattie Barnette
    15:39 19 Nov 25
    Dr Vu and his staff make you feel comfortable and taken care of. Recommend to family and friends.
    Response from the owner 22:35 19 Nov 25
    Thank you Pattie for choosing us as your primary care provider.
    cassandra Ramey profile picturecassandra Ramey
    06:31 17 Jan 23
    I am very satisfied with the medical support at Vance Family Medicine and I recommend everyone to use the service to stay in good health. The staff members work collaborative to ensure the patients receive the best care on their visit and follow up with lab work.
    If you want to know what is going on inside of the company, you should look at the top leadership. That is, Vance Family Medicine provides excellent heathy tips of wellness for any medical concern and for all family members .

    The clinic accept walk-ins Sunday through Saturday , seven days a week, as well as, you can make appointments with specific physicians. For example, I appreciate Dr. Vu medical support in my life . His medical advise has improved my health over the years.
    Happy News to the Reviews
    Dale Hughes profile pictureDale Hughes
    11:50 23 Dec 22
    Nothing but positive things to say about the staff and providers at Vance Family Medicine. My family and I have been seen here for years. I have been a patient for almost 11 years. I’ve never had a negative experience with the staff or providers at VFM. They are exactly what our community needs and I am so thankful for their ability to be open on weekends and off hours, which seems to be exactly when sickness hits families with small children. Thank you again VFM!
    Caitlin Pernell profile pictureCaitlin Pernell
    15:02 21 Nov 22
    I think that Vance Family Medicine is one of the best Medical Practices in the area. The providers at Vance Family Medicine are very knowledgeable, patient, and always so caring. My family & I have been patients here for over 20 years. We have seen many of the different providers and they all have been wonderful! It is easy to call and make an appointment with a provider of choice, and they also take walk ins. Their open hours are also impressive with staying open longer in the evening, weekends and some holidays. It’s true that no one really likes to have to go to see a doctor, but it is nice to know that when you are the patient and seen at Vance Family Medicine you will be well taken care of!
    Stacey Garner profile pictureStacey Garner
    15:09 28 Oct 22
    I am so thankful for the excellent team of Providers at Vance Family (Doctors/ PA's/Nurses). I appreciate the kind and healing way they take care of me and my family. They are open 7 days a week and this helps me and my family very much to have access to care when needed.
    Diamond Anderson profile pictureDiamond Anderson
    18:04 27 Oct 22
    I love how community driven Vance Family Medicine is. Kuddos goes out to the staff, especially during the outbreak of the Covid-19 pandemic. All of the staff are especially nice. The young lady Ms. Dominique that handles prior authorizations is always so professional and she has a lot of knowledge in her area of work.
    We are now testing for Coronavirus (COVID-19) and antibody test for immunity and previous Covid-19 exposure
    Find out more