PATIENT FORMS

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Membership Applications New Patients
Application for Medical Care
Notice of Privacy Policy
Medical Records Release Form
HIPAA Consent Form

Who We Are

Who are we: Our goal is to develop and maintain a lasting, caring relationship with each of our … Read More...

Personal Care

Member Plus Family Practice is a unique and personal approach to health care for you and your … Read More...

Becoming a Member

Elation Passport is an online patient portal for patients of Member Plus Family Health … Read More...

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Additional Note

We have put a pause on accepting new patients as of June 1, 2022. We are hoping to open up to new patients again in the fall.

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if you would like to be put on a wait list.