Thank you for your interest in becoming a new patient with Preferred Medical Group. All forms are required to complete your new patient registration. Please fill out every required section.
If you are unsure of an answer, please do not leave it blank — write "N/A" instead. Once your packet has been fully completed and submitted, our new patient coordinator will contact you within 3 business days.
If you need an immediate appointment or have questions about the registration process, please contact our new patient coordinator, Ciera, at (334) 664-0463 ext. 3320.
Our Family Practice New Patient Registration Packet includes all 5 forms below. Your registration cannot be processed until all 5 forms have been fully completed and submitted.
Our Pediatric New Patient Registration Packet includes all 5 forms below. Your registration cannot be processed until all 5 forms have been fully completed and submitted.
Our Newborn New Patient Registration Packet includes all 5 forms below. Your registration cannot be processed until all 5 forms have been fully completed and submitted.