Family Medical Patient Forms

The physicians and staff at Family Medical look forward to assisting you with your healthcare needs. It is our intention to make your visit as pleasant and convenient as possible. To reduce wait time and facilitate your appointment at any of our medical centers, we have provided some important online forms.

Please review the following information, print forms and bring with you to your next appointment.

FMC Patient Information Sheet

Please review, sign and bring to your first appointment.

Download Form

Patient Medical History Form

Please fill-out and bring to your first appointment.

Download Form

Family Medical Centers Financial Policy

This document covers our payment policies and will need to be read & signed upon your first visit.

Download Form

FMC HIPPA Policy

This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. Please review it carefully.

Download Form