GENESEE COUNTY FREE MEDICAL CLINIC
  • Home
  • About
  • Patient Form Portal
    • Rules Form
    • Checkin Form
    • Consent Form
    • Treatment and No Show Rules
    • Eligibility Application
  • How you can support
  • Executive Board
  • Volunteer App
  • WISH LIST
  • Happenings

Patient Form Portal

Select any form below, fill out the required fields and submit
Rules and regulations for patients of Genesee County Free Medical Clinic
Patient check-in form
Consent form
Treatment and no show rules
Eligibility application 

PROVIDING HEALTHCARE TO THE UNDER SERVED​


  • Home
  • About
  • Patient Form Portal
    • Rules Form
    • Checkin Form
    • Consent Form
    • Treatment and No Show Rules
    • Eligibility Application
  • How you can support
  • Executive Board
  • Volunteer App
  • WISH LIST
  • Happenings