New Patient Registration Forms

If you are new to Marram, get a jump start on your medical or dental appointment by completing the New Patient Registration Forms before you come! Use the links below to print and fill out the forms, then bring them with you to your appointment.

New Patient Registration Forms

• Medical Forms (English)

• Formularios medicos en español (Medical Forms in Spanish)

Telemedicine Visit

New or established patients may be eligible for telemedicine services. If your next visit is via telemedicine, please use the intstrutions linked below:

• Telemedicine Visit Instructions (English)

• Instrucciones para la visita de telemedicina (Spanish)

Other Forms

• Authorization for Disclosure of Protected Health Information (English)

• Consent and Authorization to Release Confidential Protected Health Information (TPO ROI) (English)

• Notice of Privacy Practices (English)

• Patient Rights and Responsibilities (English)

• Medical Record Amendment Form (English)

• Welcome to Marram Health Center (English)

• Welcome to Marram Health Center (Spanish)