New Patient Data Form – New Patients are requested to complete this form on their first visit in order that the Patient’s Chart can be established. This form is provided for your convenience and to expedite your visit by printing and completing prior to you arrival at a Fremont Medical Centers Clinic.

Medical Records Release Form – This form provides authorization for you previous physicians to release your medical records to Fremont Medical Centers to assist in our physicians in your treatment.

FMC Notice of Privacy Practices – Explanation of the treatment and security of your personal information that resides with Fremont Medical Centers.

Patient Consent Form - New Patients are requested to complete this form on their first visit in order that the Patient’s Chart can be established. This form is provided for your convenience and to expedite your visit by printing and completing prior to you arrival at a Fremont Medical Centers Clinic.