When you arrive for your appointment, we will ask you to complete the appropriate forms (see forms below). To make your visit easier, please feel free to download and complete the forms and bring them with you when you come to Family Healthcare of Hagerstown.
New Patient – Family Practice/Medical
- Patient Registration 2018
- Patient Information Guidelines
- Notice of Privacy
- Release of Information
- Consent
New Patient – Dental – Adults
- Patient Registration 2018
- Dental Adult History
- Patient Information Guidelines
- Notice of Privacy
- Release of Information
- Consent
New Patient – Dental – Children (Birth-14 years)
- Patient Registration 2018
- Dental Ped history 2018
- Patient Information Guidelines
- Notice of Privacy
- Release of Information
- Consent