New Mexico Family Medicine LLC

New Mexico Family Medicine LLCNew Mexico Family Medicine LLCNew Mexico Family Medicine LLC
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    • Home
    • Providers
    • Services
      • Primary Care
      • Womens Health
      • DOT Physical
      • Medical Marijuana
    • Schedule
    • Prices/Insurance
    • Patient Forms
    • Patient Portal
    • FAQ
    • Resources

New Mexico Family Medicine LLC

New Mexico Family Medicine LLCNew Mexico Family Medicine LLCNew Mexico Family Medicine LLC

Signed in as:

filler@godaddy.com

  • Home
  • Providers
  • Services
    • Primary Care
    • Womens Health
    • DOT Physical
    • Medical Marijuana
  • Schedule
  • Prices/Insurance
  • Patient Forms
  • Patient Portal
  • FAQ
  • Resources

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  • My Account
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  • My Account

New Patient Paperwork

New Patient

Medical Release

New Patient

Please complete these forms if you are a new patient 18 years or older.

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Pediatric

Medical Release

New Patient

Please complete this form for any new patient under the age of 18. 

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Medical Release

Medical Release

Medical Release

If you would like us to reach out to get you medical history from other clinics, please fill out this form. 

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Phone: 505-492-2541 Fax: 833-428-7070

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We take walk ins for acute illness


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