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Become a Martin's Point Patient

Once you've chosen a location that works for your preferences, please fill out this new patient form and a member of our team will contact you to get you scheduled. Please note: This form is only for current Generations Advantage members impacted by the InterMed network change. If you are not a current member and interested in becoming a new patient, please click here.

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Please select desired Health Care Center location.


Your Contact Information


Insurance Company Information



We value your privacy and want you to be informed of how we may use and disclose your protected health information. For specifics, please read our Notice of Privacy Practices. Data submitted through this form will be transmitted securely and in compliance with applicable laws and regulations.