In Premier Family Medical, our mission is to improve lives in the community by providing comprehensive health care and various wellness services.

New patients, save time!

Please download and complete the new patient forms and bring them with you to your appointment.  You will need to bring all current medications that you are currently taking as well as your insurance card and picture identification.

If you are an established patient and have not been seen in our office for over one year, you will need to download the update demographic form below and bring to your appointment.

Clicking on the links below will download the forms.

You will need a program capable of reading Portable Document Format (.pdf) files.  You can download one free at

Notice of Privacy Practices Acknowledgement (HIPAA)

Patient Insurance Form (Minor)

Patient Insurance Form (Male)

Patient Insurance Form (Female)

Patient Information Form

Financial Policies