Patient Information and Forms

Welcome to Fayetteville Medical Associates!

For information about our office, physicians, nurses, hours and policies, click this link FMA Information

For information about our Privacy Policy, click this link: HIPAA

If you are a new patient, please print the medical history form and complete. Be sure to bring with you to your appointment. click here for the form Medical History Questionnaire

If you are a new patient, please print the medical records release form, complete and bring to your appointment. Click this link for the form FMA Medical Records Release

For information about our policy on Patients Rights and Responsibilities, click here Patients Rights and Responsibilities

For NEW PEDIATRIC PATIENT APPOINTMENTS; please print, complete and bring the Pediatric Medical History Questionnaire with you to your child’s first visit.
Click here for the form: Pediatric Medical History Questionnaire 
If your child is 1 month or younger, please print, complete and bring the Newborn Health History with you to your child’s appointment as well as the above form: Newborn Health History
For our policy on Pediatric Allergy injections click: Pediatric Allergy Shot Information

FOR ALL NEW PEDIATRIC APPOINTMENTS; A COPY OF YOUR CHILD’S IMMUNIZATION RECORD IS REQUIRED!
BE SURE TO BRING THIS WITH YOU TO YOUR CHILD’S FIRST VISIT. IF YOU DO NOT, THEY WILL NOT RECEIVE ANY IMMUNIZATIONS!

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