We understand that good communication is extremely important. For that reason, we provide Language Interpretation Services free of charge so all of our patients can receive care in a language most comfortable to them. Please click here for more information.
If you are ready to begin your care with Family Healthcare of Hagerstown, our forms can be completed ahead of time.
Please Note: All mental health patients need to also be Family Practice patients; therefore, there are likely no additional forms to complete for mental health patients. Simply completing New Patient information for Family Practice will likely be enough.
Also of Note: All new dental patients should complete the Financial Assistance Form below regardless of insurance coverage. If you have insurance of any kind and feel like you still need financial assistance, complete the Financial Assistance Form below. Be sure to provide the supporting documents explained on the Financial Assistance Form.
New Patient Forms – Family Practice
New Patient Forms – Dental Adults/Children
- Welcome Packet/Registration (English)
- Welcome Packet/Registration (Spanish)
- Healthy Smiles in Motion (Mobile) Patient Packet (New & Yearly)