Patient Forms & Policies
First Medical Associates sees and treats adults ages 18 and older. We do not provide pediatric care or treat patients under 18. Review our policies online and download the forms you need to prepare for your next appointment or request information.
Privacy Policy
Learn how we protect your personal and health information.
Release Medical Records
Complete and sign your medical records release authorization online, or download a fillable PDF.
Physical vs. Office Visit
Understand the difference between a physical exam and a problem-based office visit.
HIPAA Right of Access Form
Authorize a family member or other person to access your protected health information.
Request Medical Records
Use this form to request your medical records from First Medical Associates.
HIPAA Privacy Notice
Review our notice of privacy practices and your rights under HIPAA.
FMLA, Disability and Other Forms
Review requirements and possible fees for FMLA, disability, and other forms.
Late Arrival Policy
Review arrival-time requirements, the grace period, and rescheduling options.
GLP-1 Medications and Insurance Coverage
Learn about common insurance criteria and prior authorization decisions.
GLP-1 and Weight Loss Medications Policy
Review FMA prescribing, prior authorization, transition, and referral guidance.
MSSP ACO Beneficiary Notification (English)
Read the Medicare Shared Savings Program Accountable Care Organization beneficiary notification.
MSSP ACO Beneficiary Notification (Spanish)
Lea la notificaci贸n para beneficiarios de la Organizaci贸n de Atenci贸n Responsable del Programa de Ahorros Compartidos de Medicare.
Please complete all required forms before your visit. This helps us ensure a smooth check-in process.