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Patient Name: Date of Birth: Appointment Time Agreement Functional Medicine Clinic College Park Family Care Center Please initial the following: I understand that I will arrive 15 minutes early to
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Locate the fm clinic- appt time section on the form or online platform.
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Enter the desired appointment date and time in the designated fields.
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Who needs fm clinic- appt time:

01
Individuals who want to schedule an appointment at the FM clinic need to fill out the fm clinic- appt time section.
02
Patients who wish to book a specific date and time for their visit to the FM clinic need to provide this information.
03
Anyone requiring medical assistance or consultation from the FM clinic should complete the fm clinic- appt time section in order to secure an appointment.
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FM clinic- appt time is the scheduled time for an appointment at the Family Medicine clinic.
Patients who have appointments at the Family Medicine clinic are required to file their appointment time.
Patients can fill out their appointment time by checking their appointment confirmation email or by contacting the clinic directly.
The purpose of fm clinic- appt time is to ensure patients know when their scheduled appointment is and can arrive on time.
Patients must report the date and time of their scheduled appointment at the Family Medicine clinic.
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