Fairmount Family Medicine

Hours

Sunday: Closed
Monday: 8:00 am-5:00 pm
Tuesday: 8:00 am-5:00 pm
Wednesday: 8:00 am-5:00 pm
Thursday: 8:00 am-5:00 pm
Friday: 8:00 am-4:30 pm
Saturday: Closed

FCMG Forms

• 📄 Do Not Resuscitate Order
• 📄 FCMG Participating Insurances Jul 2024
• 📄 Health Care Proxy (Spanish Version)
• 📄 Health Care Proxy Form
• 📄 Health Information Release Form
• 📄 How do I access the Patient Portal
• 📄 Living Will Form
• 📄 Medical Orders for Life Sustaining Treatment Information
• 📄 No-Fault Assignment of Benefits Form
• 📄 Patient Financial Policy

Location Specific Forms

• 📄 New Patient Packet
• 📄 New Patient Packet for Dermatology Patients