Skip to main content area
  • About
    • Mission Statement
    • Board of Directors
    • Admin Team
    • Advanced Practice Providers
    • Physician Listing
  • Locations
  • Services
    • Clinical Laboratories
  • Resources
    • Home Care - Long Term
    • Home Care Agencies - Certified
    • Home Care Agencies – Licensed
    • Hospitals
    • Mental Health Resources
    • Onondaga County Medical Society
    • Orthopedic Services
    • Social Services
    • Support Groups
    • Transportation Options
  • Clinical Programs
  • News
  • Careers
    • Calling all Medical Students
  • Contact
  • Forms
  • Patient Portal
  • Pay Bill
Home
  • Forms
  • Patient Portal
  • Pay Bill
  • About
  • Locations
  • Services
  • Resources
  • Clinical Programs
  • News
  • Careers
  • Contact

Forms

Feel free to download the forms below.  Most are built in adobe acrobat and will need a PDF reader to view them.

Helpful Forms: 
PDF icon Do Not Resuscitate Order
PDF icon Health Care Proxy Form
PDF icon Health Information Release Form
PDF icon Living WIll Form
PDF icon Medical Orders for Life Sustaining Treatment Information
PDF icon No-Fault Assignment of Benefits Form
PDF icon Health Care Proxy (Spanish Version)
File How do I access the Patient Portal
PDF icon FCMG Participating Insurances Jul 2024
PDF icon Patient Financial Policy

Copyright ©2025 FamilyCare Medical Group
1001 W Fayette St. Syracuse, NY 13204

(315) 802-5178
Locations | Privacy Policy