New Patient Packet
Please print out both the New Patient Packet & HIPAA form, complete & either mail, fax back to our office (fax# 508-760-1218) or drop off at your convenience. Upon review of your application, we will contact you.
PLEASE KEEP IN MIND THIS IS AN APPLICATION AND DOES NOT GUARANTEE YOU WILL BECOME A PATIENT AT YARMOUTH MEDICAL CENTER. THEREFORE, PLEASE DO NOT CHANGE YOUR PCP WITH YOUR INSURANCE COMPANY UNTIL YOU RECEIVE CONFIRMATION FROM OUR OFFICE THAT YOU HAVE BEEN ACCEPTED AS A PATIENT.
Please print out both the New Patient Packet & HIPAA form, complete & either mail, fax back to our office (fax# 508-760-1218) or drop off at your convenience. Upon review of your application, we will contact you.
PLEASE KEEP IN MIND THIS IS AN APPLICATION AND DOES NOT GUARANTEE YOU WILL BECOME A PATIENT AT YARMOUTH MEDICAL CENTER. THEREFORE, PLEASE DO NOT CHANGE YOUR PCP WITH YOUR INSURANCE COMPANY UNTIL YOU RECEIVE CONFIRMATION FROM OUR OFFICE THAT YOU HAVE BEEN ACCEPTED AS A PATIENT.
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