Be Prepared
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At each visit you will need: - Current insurance card - Photo ID - Payment in full, or any applicable copayment
You will be asked to verify your name, address, phone number(s), insurance carrier, and preferred pharmacy. |
News
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- FCA Patient Portal is now available to all patients. Provide us your email and log in today! -FCA now offers Saturday walk-in hours from 8-10:30am for acute illness only |
Business Hours
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Monday-Friday 7am-5pm |
New Patient Application
If you are interested in becoming a patient, please choose a provider and complete an application. You will be notified by mail or phone once you are accepted.
Note: Forms are in Adobe PDF format. Click here for a free download of Adobe Acrobat Reader.
Dr. Amanda Bierman is accepting patients newborn to 18 years old. Click here to complete and print the application form.
Dr. Colleen Bingham is accepting all newborn applications.
Click here to complete and print the application form.
Dr. Michael Brummer is no longer accepting applications.
Dr. Jeffrey Brummer is accepting patients from newborn to seniors. Click here to complete and print the application form.
Dr. Jeffrey Crowell is accepting patients from newborn to seniors. Click here to complete and print the application form.
Dr. Thomas Heischmidt is accepting patients newborn to 18 years old. Click here to complete and print the application form.