Welcome to Regional Physicians Family Medicine-Adams Farm. We ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Patient Information Sheet. Enter your full legal name, date of birth, and contact information accurately.
3. Complete the Medical History Forms thoroughly. Ensure all past medical conditions, allergies, and medications are listed.
4. If applicable, fill out the Consent for Release of Medical Records section to allow transfer of your previous healthcare records.
5. Review the Emergency Contact Information section and provide details for someone who can be reached in case of an emergency.
6. For patients under 18, complete the Parent/Guardian section with accurate information about the guardian responsible for the patient.
7. Finally, ensure you sign and date all necessary sections before submitting your completed forms via mail, fax, or in person at our office.

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