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    • Our Mission
    • Board of Directors
  • Our Services
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  • Foundation
  • Giving
    • General Giving
    • Give to Dr. Ken and Twyla Bartholomew Scholarship Fund
  • Contact Us
  • News

Clinic Patient Forms

Clinic Patient Formsmcgadmin2019-08-01T14:00:18-05:00

  • ADHD Symptom Checklist

  • Adult Depression Screening
  • Bone Density Order Form
  • Child/Adolescent Depression Screening
  • Geriatric Depression Scale
  • M Chat
  • MRI Screening Form
  • Sleep Study Referral Form
  • Sleep History Questionnaire
HRSA National Health Service Corps Site
The Faulkton Area Medical Center provides equal opportunity to anyone seeking our services or visiting our facilities. If you need an accommodation because of a disability, please contact Clinic Reception at 605-598-6262 at least 72 hours in advance of the need for the accommodation.

No one will be denied access to services due to inability to pay.

Important Links

Job Openings
Patient Forms
2023 Community Health Needs Assessment Report
2020 Community Health Needs Assessment Report
Insurance/Medicare Information
FAMC 2022 990
FAMC 2021 990
FAMC 2021 Single Audit
Price Transparency
Release of Medical Information Form

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