FMG Credit Policy - Updated 11/2012
Please fill out the updated Credit Policy and bring it with you to your appointment. Call our office if you have any questions about the policies explained in this form.
FMG Health History Questionnaire
Please fill out the Health History Questionnaire and bring it to your appointment if you are a new patient, if you are coming in for a yearly exam or a wellness exam, or if there has been a change in your health.
FMG Release of Information
Please fill out the Release of Information form if you would like to have medical records sent to our office from another doctor's office, or if you would like to have your medical records sent from our office to another doctor's office or to you. You will need to either mail or fax this form to our or office, or bring it by in person. It is helpful if you can include as much information as possible so that we can get records to or from the right place (phone number, fax number, address). Also, please initial all sections as explained in the instructions.
FMG HIPAA Policy - Updated 1/2013
Please review and sign the updated HIPAA Policy and bring it with you to your appointment. Call our office if you have any questions about the policies explained in this form.