To register at FirstMed please complete and send the online Registration Form (pdf) and the Medical Information Release Consent Form (pdf) below. Should you prefer completing them by hand, please print out the pdf versions above and bring them both for your visit.
Please note that it is necessary to click both blue fields at the end of each form in order for our colleagues to receive them both.
Please do not write in ‘ALL CAPS’, use Proper Case [e.g. Smith, John]
Registration Form
Medical Information Release Consent Form