FirstMed - Know Before you Go

Know Before you go.

For even faster service:

1) please print any forms below that apply to your visit,

2) complete the forms and

3) present them to the FirstMed front desk staff.

All patients should print and complete these two forms:

Please print and complete any other forms

that are applicable to your visit to FirstMed.




		Know Before you go. For even faster service: 1) please print any forms below that apply to your visit, 2) complete the forms and 3) present them to the FirstMed front desk staff. All patients should print and complete these two forms: Medical Questionnaire Patient Information form Please print and complete any other forms that are applicable to your visit to FirstMed. DOT form: If you need a DOT physical. Drug Screen form: If you need to have a drug test. Hazardous Material form: If you need to have a HazMat evaluation. Respiratory Certification form: If you need to be certified for a respirator. Authorization for Treatment form: To be filled out by employer.