Patient Forms
Prepare for Your Visit
Please arrive 15 minutes before your scheduled appointment to allow time for any updates to patient files and other necessary paperwork.
Please bring the following to every appointment:
- Photo ID
- Current insurance card(s)
- Co-payment(s), if required
- All your medications, prescription and over the counter
- Tests results/images that have been requested by us
- Past medical records you feel are applicable to your health
- If you have Medicare, your pharmacy insurance drug card
NEW Patient Forms
Fill out and submit your patient information on our website.
Print and fill out your forms, and bring them to your on site visit.
ESTABLISHED Patient Forms
Fill out and submit your patient information on our website.
Print and fill out your forms, and bring them to your on site visit.
NEWBORN-5.5 Years Forms
Is this your child’s first visit to HFM?
Has your provider advised Ages & Stages Screening?
HIPAA / Medical Records Release
Use these forms ONLY IF YOUR PROVIDER/HFM STAFF MEMBER HAS SPECIFICALLY INSTRUCTED YOU TO.
Print our Notice of Privacy Practices
Print Medical Records Release and take to your on site visit.