Clay Primary & Family Care, LLC

Available Forms

1. Registration - Adult 2. Registration - Child 3. Registration - Caregiver 4. Registration - Short Form 5. Contact Us 6. Prescription Refill Request Appointment Request - Clay Primary & Family Care Referral Follow-Up - Clay Primary & Family Care

5. Contact Us

Send us a message

What department is your issue regarding? *

Scheduling / Appointment Request

Billing / Insurance

Medication

Medical Question

Referrals

Medical Records

Management

Other

Please select to ensure you are routed to the correct department.

First Name: *

Last Name: *

Date of Birth: *

Phone Number: *

Please include area code

Please explain your question or issue in detail:

Question or Issue:

We check messages every hour during normal business hours. Questions/Issues are researched and addressed with the respective departments. Someone from that department will contact you within 24-48 hours, during the business week.

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