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Adobe Acrobat iconNew Patient Registration FormThis form may be used for new patients to register with FPCA and by existing patients to update their insurance and personal information

Adobe Acrobat iconPermission to Treat Minor Patient (Without Parent/Legal Guardian Present) FormThis form may be used by existing FPCA patients to authorize their minor children to be brought in for treatment by another adult or for minor children 16 - 17 years old to receive treatment unaccompanied by an adult.

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