Welcome to DFD Russell Medical Center! We understand that you would like to schedule an appointment with one of our health care providers.
Please print the Patient Registration Packet by clicking the link below.
Please fill out and return the following:
- Patient Registration Form
- Consent for Treatment Form
- Income Survey & Sliding Fee Discount Application
- Medical Record Release Form
If you have any questions, would like assistance completing any of these forms, or would like the New Patient Packet mailed to you directly, please contact our Patient Assistance Coordinator, Tia Knapp, by calling 524-4010.
Thank you for choosing DFD Russell Medical Centers. Together we will develop a plan to best meet your healthcare needs.
