VIDEO VISITS - A GREAT WAY TO SEE YOUR DOCTOR WITHOUT LEAVING HOME!

Family Health Center

Family Health Center

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Home
About us
Services
Patient Info
Forms
Video Visits
Patient Education
Patient Portal
Employment

Wellness Forms

Medicare Wellness form (65 years old +) (pdf)Download

Female Wellness Form (under 65 yrs old) (pdf)Download

Male Wellness (under 65 years old) (pdf)Download

Teen wellness form (13-18 years old) (docx)Download

New Patient Paperwork

Adult New Patient Paperwork (pdf)Download

Adult New Patient Paperwork -FILL FORM (docx)Download

Pediatric new patient paperwork (docx)Download

Medical Records Release - Send to FHC

Medical Release Form - To FHC (doc)Download

Medical Release Form - From FHC (doc)Download

Medical Release Form - person to person (doc)Download

Sports Physical Form (pdf)Download

Disability Parking Application (pdf)Download

DOT Forms

Dr. Waters - 2019 DOT Form (pdf)Download

Dr. Dunn - 2019 DOT Form (pdf)Download

End of Life Forms

PACKET -End of life forms with FAQ (pdf)Download

LIVING WILL (docx)Download

DURABLE POWER OF ATTORNEY FOR HEALTH CARE (docx)Download

Please email signed consent to us @ fhcinfo@fhcsandpoint.com

Video Visit Consent Form (pdf)Download

Video Visit Consent Form - Medicare Pts (pdf)Download

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