• Home
  • About us
    • The Providers
    • The Staff
    • The Dogs
  • Patient Resources
    • New Patients
    • Online Forms
    • Downloadable Forms
  • Patient Portal
  • Immigration Exams
  • Contact Us
    • Clinic Information
    • Billing Contact
    • Refill Requests
    • General Messages
  • More
    • Home
    • About us
      • The Providers
      • The Staff
      • The Dogs
    • Patient Resources
      • New Patients
      • Online Forms
      • Downloadable Forms
    • Patient Portal
    • Immigration Exams
    • Contact Us
      • Clinic Information
      • Billing Contact
      • Refill Requests
      • General Messages
  • Home
  • About us
    • The Providers
    • The Staff
    • The Dogs
  • Patient Resources
    • New Patients
    • Online Forms
    • Downloadable Forms
  • Patient Portal
  • Immigration Exams
  • Contact Us
    • Clinic Information
    • Billing Contact
    • Refill Requests
    • General Messages

Practice Forms

New Patient Packet (pdf)

Download

Welcome Letter (pdf)

Download

Patient Rights and Responsibilities (pdf)

Download

Auth and Consent (pdf)

Download

Authorization For Release of Health Information (pdf)

Download

HIPAA Notice of Privacy Practices 2024 (pdf)

Download

Copyright © 2024 Family Tree Medical Clinic - All Rights Reserved.

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept