Patient Forms

Provided below are various forms that require completion prior to your visit. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, you may have to download the Adobe software. This will allow you to download this software,providing access to the forms. Please print and bring the completed form(s) with you or click submit at then completion of each form and our staff will have it printed ready for your signature at your scheduled visit. This will help expedite the registration process. Thank you.

FCMC Initial Visit Packet and Forms
Consent for Treatment of a Minor
School Entry Health Exam
Sports Physical Exam
PHQ-9 Patient Depression Questionnaire
Patient Health Questionnaire(PHQ-9) and Adult ADHD Self-Report Scale

If you need any help completing these forms, have questions about our treatments and procedures, or need to schedule an appointment, please call us at (561) 623-0801.

**If you are unable to print these forms, please arrive 30 minutes early to your first appointment.


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