Register to become a FirstCare Family Practice patient

To register as a new patient, please print out and sign the forms below, then mail, fax or bring the forms to:

FirstCare Medical Center
222 Route 299
Highland, NY 12528
Fax 845-691-3641

Demographic Form
FirstCare Billing Policies and Procedures
New York State Department of Health Consent for Participation in NYSIIS
Cancellation & “No Show” Policy

Click here for our Immigration/I693 intake forms

Click here for the Health Insurance Privacy and Portability Act, which Firstcare adheres to.