The Family Health Center, Tomas Friedrich, M.D. - www.TheFamilyHealthCntr.com Family Care
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2240 S.Queen St. York, Pa
The Family Health Center, Tomas Friedrich, M.D. - www.TheFamilyHealthCntr.com Family Care in York PA Doctors in York, PA
Family Care Dermatology Weight Management New Patient Forms About Dr. Friedrich

New Patient Registration Forms
For your convenience listed below are the necessary forms that you will need to have completed before your first appointment with Dr. Friedrich.

To download these forms simply click "Download Form" button next to the form you would like to download. After downloading, printing and completing these forms you will not have to complete these forms at our office.

When you arrive for you appointment present the completed forms, your identification and any insurance information you may have.

New Patient

Registration Forms
Download All of the Above Forms (PDF 48k Recommended) Download All Forms
Physician Notice (PDF 31k) Download Form
Patient Notice (PDF 35k) Download Form
Cancellation Policy (PDF 30k) Download Form
Financial Policy (PDF 33k) Download Form

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