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Planning Your Visit to Family Medicine

You will need to bring the following documents with you to your visit:

  • Picture Identification (drivers license)
  • Insurance Card
  • Co-pay (We accept cash, checks, and all major credit cards)
  • For Minors (non-emancipated children under the age of 18), we require a written authorization for treatment from a legal guardian.

Download Patient Forms

For your convenience, you may print out and complete the following prior to your visit:

HIPAA Privacy Policy HIPAA Privacy Policy (29 KB)

Acknowledgement of Receipt of Privacy Policy Acknowledgement of Receipt of Privacy Policy (15 KB)

Patient Intake Form Patient Intake Form (19 KB)

Family Records Request Form Family Records Request Form (47 KB)

Health Summary Questionnaire Health Summary Questionnaire (45 KB)