Forms/Policies

New Patient Visit Checklist

  • Completed new patient forms (Arrive 15 minutes prior to appointment if forms are not already completed.)
  • Photo ID
  • Insurance card(s)
  • Payment source for co-payment/co-insurance/deductibles/payment on existing balances
  • Always bring all prescriptions with you to each office visit.
forms may be accessed from our website at www.fmcnms.com

Established Patient Visit Checklist

  • Photo ID
  • Insurance card(s)
  • Payment source for co-payment/co-insurance/deductibles/payment on existing balances
  • Always bring all prescriptions with you to each office visit.
  • If it has been more than one year since your previous visit, then we may ask you to re-complete a new patient form. See New Patient Form on left side of this page.