For New Patients
Thank you for entrusting your family's health to Hampden Medical Group. In order to assist you, we have posted the following forms for you to print and review prior to your arrival at our medical clinic.
All new patients are required to fill out the following new patient forms at check in. You may open/download these forms and fill them out prior to coming into the office to ensure a quicker check-in time.
New Patient Paperwork Packet
Notice of Privacy Practices
FAA Medical Exams
Before arriving to our office for an FAA Medical Exam, please begin your application for medical certificate using the FAA's MedXPress online system. After completing your application, MedXPress will issue you a control number, which you will need to provide to us when checking in for your appointment.
Click here for instructions on how to access MedXPress.
If you are over the age of 65 and have an appointment for a physical, please fill out this Health Assessment form and bring it to your appointment.
Hampden Medical Group Health Assessment Form
Here are some other common office forms we occasionally ask you to update.
Acknowledgment of Privacy Practices