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 DAILY. FAST AND EASY. Please click on the link below for a "virtual visit" with one of our providers...SAFE FOR YOU! FirstCare is providing extra measures to protect our patient's health. We have the Covid Moderna Vaccine. Call today!