Patient Resources

To save time at your first visit to the Family Medicine Center, please take the time to print and complete the required forms. Please bring the forms with you to your appointment.


If you have an appointment with Roland Prezas, DO, please utilize the following forms:

-Patient Registration
-Home Medication Sheet
-Authorization to Release Information
-Consent to Medical Treatment
-Patient Rights
-Notice of Privacy Practice

If you have appointment at the Family Medicine Center with Karen Millender, MD; Na Vang, DO;  Richard Erickson, DO; or Debra Crook, FNP-C, please utilize the following forms:

-Patient Registration
-New Patient History
-Home Medication Sheet
-Authorization to Release Information
-Consent to Medical Treatment
-Patient Rights
-Notice of Privacy Practice