Patient Resources

Whether you are a first-time visitor, already an established patient, or an employer, here’s your one-stop shop for all the information, forms, or requests you might need as a new or existing patient or employer.

Enroll in DPC

*Please allow 1-2 business days for your enrollment to be processed.

Authorization & Medical Request Forms

Notice of Non-Insurance Participation

Hitchcock Family Medicine operates outside of the traditional insurance system. We do not bill or accept payment from insurance companies, including Medicare or Medicaid. All services provided in our office are offered on a direct-pay basis. This means:

  • You pay us directly at the time of service or through your monthly membership.
  • You may still use your insurance for services outside our office (such as specialist visits, hospitalizations, or imaging at facilities that accept insurance).
  • For many patients, keeping a high-deductible insurance plan for emergencies while using our practice for everyday care is the most cost-effective option.

Medicare Opt-Out Status

Our physicians have formally opted out of Medicare. If you are a Medicare beneficiary, you may still join our practice, but you will need to sign a private contract agreement at the time of enrollment.

  • This agreement is required by Medicare regulations and confirms that neither you nor your physician will submit claims to Medicare for services provided by Hitchcock Family Medicine.
  • You may still use Medicare benefits for services received outside of our practice, such as hospital care, specialist visits, or labs/imaging at facilities that accept Medicare.

Testimonials

What Our Patients are Saying
“We recommend Hitchcock Family Medicine to everyone we know!”
“Dr. H answers emails promptly. He has met us in the middle of the day to remove a Lego from my son's nose and after hours for stitches for my husband and my son on different occasions (avoiding ER waits and charges). We always have the office to ourselves, and we never feel rushed. Our concerns are always heard. We wouldn't want anyone else for our PCP.”
— Bekah
“It's like having a brother-in-law who's a doctor!”
— Steven
“This place is amazing! - C. Y. ”
“They are quick, so kind and helpful. Very grateful to have this resource. Most of all, affordable!!! -S. T.”
— S. Thomas
“Hitchcock Direct Imaging is by far the easiest imaging experience.”
“Pricing is affordable and transparent, and the people are the best!”
— Meredith T.
“Highly recommended for any and all people looking for quality healthcare.”
“Very kind and accommodating. Quick responses/results.”
— Naomi M.
“Service within 24 hours and out of pocket cost less than using insurance! Huge time and money saver coordinating with Hitchcock Direct Imaging. -K. P. ”
“Hitchcock Family Medicine has been a blessing to me!”
“My new doctor totally understands me and what I need. He is always available via phone or in person to help me. He is everything a doctor should be!”
— Lesa N.
“I’m a patient here, but you don’t have to be to take advantage of direct imaging. Professional staff, transparent cash pricing, and a warm and welcoming office and waiting area. -D. C. ”
— D. C
“Dr. Sanders is great!”
“She also responds quickly to my emails. I love the personalized care that I receive at Hitchcock Family Medicine.”
— Amy G.
From the Blog

Want More Information?

Whether you’re curious about starting a primary care membership, in need of imaging, or want to check pharmacy prices – we’d love to hear from you.