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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 

School Physical Form (pdf)

Download

VHSL-Physical-Evaluation-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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UPCOMING CLOSURES

Wednesday, December 24, 2025-close at 12 pm

Friday, December 26, 2025