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New Patient Application

"I can do all things through him who strengthens me". Philippians4:13

Hello and welcome to the Seaside Family Health Care.  If you are interested in becoming a NEW PATIENT, please fill out the form provided below. We will do our very best to reply to you within 24 hours but please allow up to 72 hours for our response. It is our desire to attend to you immediately but response time may vary.   To ensure our providers are able to meet your healthcare needs and be considered for admission to our practice, you must be willing to consent to health information review.  You may do this by selecting yes in the application below. 

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