New To ClearPath Family Healthcare?

Start here

Complete your registration forms here

The packet above includes all required forms

Steps in the Registration Process

1

2

3

1

We will need your name, date of birth, contact information, insurance info & copies of your ID's

2

HIPAA, privacy policies & medical consent for treatment

3

medical history and family history

Check-list of Forms needed for registration 

checklist.png
  1. New Patient Forms

  2. Informed Consent for Medical Treatment

  3. Financial Consent

  4. HIPAA Consent

  5. Notice of Privacy Practices

  6. Patient Health History 

  7. Request for Medical Records

  8. HIE Opt-out