New patient forms
Please download, print, and complete the following Adobe Acrobat PDF forms:
All new patients must complete this form to set up an individual account with Family Wellness Center. Bring completed form along with your insurance card with you to your first appointment.
All NEW adult patients must complete this form and bring it to their first office visit appointment.
Children & Teens Under Age 18 form
A parent of a NEW pediatric patient should complete this form and bring it to their child’s first appointment at Family Wellness Center.
Medical Records Release TO Family Wellness Center
If you are requesting that your records come TO Family Wellness Center
What’s Happening06/16/17 4:30 pm closure on Tuesday, June 20, 2017
The clinic will close on Tuesday June 20th at 4:30 pm. We w06/06/17 Family Time at the Portland Rose Festival
June marks a historic, annual tradition for our neighbors across the bridge -05/30/17 5 Facts for Osteoporosis Prevention
Osteoporosis is a disease that causes the bones to become weak and brittle as