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

Immigration/I693 intake forms

Health Insurance Privacy and Portability Act, which Firstcare adheres to.

CORONAVIRUS TESTING AVAILABLE ON-Site. FAST AND EASY. Please click on the link below for a "home visit" with one of our providers...SAFE FOR YOU! FirstCare is providing extra measures to protect our patient's health including our "WELL ONLY" Family Practice open for our patients and anyone who wants their own family doctor. Call Today!Alternate numbers to reach us are: 845-691-3773 and 845-275-8456...