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Family Medical Center, PC fax number

(812) 524-3334

Family Medicine

Used for: New patient registration packet submission (Adult Packet and Pediatric Packet) via fax or upload

Fax destination details

Department
Family Medicine
Purpose
New patient registration packet submission (Adult Packet and Pediatric Packet) via fax or upload
Form
New patient registration packet — Adult Packet and Pediatric Packet
Address
2026 N. Ewing St, Seymour, IN 47274; 210 N Main Street, Brownstown, IN 47220
Voice phone
812-524-3333

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Download and complete the appropriate new patient packet; include a copy of insurance cards; you may fax the packet to 812-524-3334 or upload via the office portal.

Official form instructions are published as a downloadable file on the organization's website.

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