Family Health

New Patients (if you have NOT had a pre-visit planning phone call)

Click below to download our new patient packet. It contains forms you will need to print out, complete, and bring with you to your first visit.

New Patients (if you HAVE had a pre-visit planning phone call)

Click below to download our new patient packet. It contains forms you will need to print out, complete, and bring with you to your first visit.

Current Patients

Sliding Scale Application

Privacy Practices, Bill of Rights, and PCMH Brochure

Click below to read our privacy policy, patient bill of rights, and patient-centered medical home brochure.

Medical Records Release Form - Incoming to MAHEC

Medical Records Release Form - Outgoing from MAHEC

Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

Who May We Speak With? (HIPAA Release)