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County Med

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    • Home
    • Services/Forms
    • Hours
    • Insurance Plans
    • Self Pay Fees
    • About Us
    • Contact Us
    • Community Events
    • Privacy Policy
  • Home
  • Services/Forms
  • Hours
  • Insurance Plans
  • Self Pay Fees
  • About Us
  • Contact Us
  • Community Events
  • Privacy Policy

Services

  • Wellness Checks (All ages)
  • Sick Visits
  • Telehealth
  • DOT physicals
  • Sports physicals
  • Lactation Consultation
  • In-home primary care (when allowed by insurance)
  • Same day appointments as available 

Forms

School Physical Form (pdf)

Download

VHSL Physical Form (pdf)

Download

Release of Information (pdf)

Download

New Patient- Consent to Treatment (pdf)

Download

New Patient- Hippa Consent (pdf)

Download

New Patient- Demographic Sheet (docx)

Download

New Patient- Authorization to Disclose (pdf)

Download
  • Privacy Policy

County Med

103 E Broad St, Blackstone VA 23824

(434)264-3221

Copyright © 2025 County Med - All Rights Reserved.

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ATTENTION!!

*IF SCHEDULING AN APPOINTMENT ONLINE PLEASE INCLUDE YOUR REASON FOR SCHEDULING IN THE NOTES SECTION!!


Office Closure

Due to the current winter weather advisory we will be closed Wednesday, February 19th, 2025.