Sand Mountain Family Practice Center PC Forms

Convenient Patient Forms

For your convenience, Sand Mountain Family Practice Center PC has included the following forms for you to easily download, fill out, and bring to your first appointment. We accept most insurance and are currently accepting new patients. Call our locally owned family practice to schedule an appointment.

Adult Patient Information Sheet

Authorization for Use or Disclosure of Protected Health Information

Medication and Symptom Form

Child Registration Form

Notice of Privacy Practices

Discrimination is Against the Law

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