Hemphill County Hospital District provides leading patient-centered hospital and specialty care services to our communities, allowing our patients to achieve their full potential for health and well-being.

Contact Us

Address: 1020 S. 4th Street, Canadian, TX 79014

Email: info@hchdst.org

Phone: 806-323-6422

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Harvester Family Medical Clinic Patient Forms

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Harvester Family Medical Clinic - Patient Forms

As a patient of Harvester Family Medical Clinic (HFMC), you won’t have to rush through a clipboard of paperwork when you arrive for your appointment. Patients can complete registration forms for upcoming visits while in the convenience of their home where they can easily consult their medication list and medical history. Simply complete your patient forms online utilizing our confidential and secure system, when and where it’s convenient for you.

PLEASE NOTE: After you submit this form, you will receive an email from SignNow requiring you to digitally sign the documents for HFMC.

Our staff will receive copies of your signed patient forms.