New Patient Application

Hastings Internal and Family Medicine is now accepting new patients!  Please download and fill out a brief application by clicking the button below.  Return it to our office by mail or in person.

 

 

 

 

Once accepted, a Welcome Packet must be completed before your first appointment can be scheduled.  The Welcome Packet contains information we need to bill your insurance and provide you with comprehensive care.  Please fill it out and return it to our office by mail or in person.

  

  

Included in the Welcome Packet:

 

  • What to bring to your first appointment

  • Patient Registration

  • Contact information

  • Patient-Centered Medical Home information

  • Consent to Care Management

  • Consent to Virtual Appointments

  • Notice of Privacy Practices

  • Authorization for Release of Medical Information   

Print Me !
(or pick up a copy in the office)

225 S M-37, Suite 1 • Hastings, Michigan 49058 • Tel: 269-948-0078 • Fax: 269-948-0099