City Line Family Medicine

301 City Avenue ■ Suite 100 ■ Bala Cynwyd, PA 19004

Phone 610-617-1300 ■ Fax 610-617-0199 ■ Text/Voicemail* 484-429-9141

New Patient Registration - Step 1 of 6

  • Please refer to the 'Terms of Use' web page for complete details regarding use of this service.  Use of this web service indicates the user's agreement to be bound by the terms of use and knowledge of disclaimers listed.

  • New patients are required to answer a few simple questions prior to registration.  The entire registration process will take less than 5 minutes.  To get started, begin with the question below.

 

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To start, please print out the Medical Record Release Form to have your medical records from your previous physician's office(s) forwarded to City Line Family Medicine.

Click the links below to print out forms.

Medical Records Release Form

Then, if you have a managed care insurance (HMO), have you contacted your insurance company and made City Line Family Medicine your primary care office?


 Yes
 No
 Not Applicable / I do not need to choose a primary care physician


 

*depending upon your calling/texting plan, additional charges may apply.