New Patient Application

Thank you for your interest in becoming a patient of Family Care Associates! Please complete our NEW PATIENT APPLICATION. Once your application is reviewed, you will be notified of our decision by e-mail, mail, or phone.

Please include a photo ID and copy of your insurance card(s) when submitting applications.

Note: Forms are in Adobe PDF format. Click here for a free download of Adobe Acrobat Reader.

**Below is a listing of our physicians currently welcoming new patients.
Amanda Bierman M.D. Pediatrics is accepting newborns to 18 years. 

Jeffrey Brummer D.O. Family Practice is accepting newborns to seniors. 

Jeffrey Crowell M.D. Family Practice is accepting newborns to seniors. 

Thomas Heischmidt M.D. Internal Medicine and Pediatrics is accepting newborns to seniors.

Jennifer Tinsley, Psychiatric Mental Health Nurse Practitioner is accepting patients for medication management ONLY.

Melissa Semple, Doctor of Psychology/Licensed Clinical Professional Counselor is accepting current Family Care patients only.

Rebecca Holkenbrink, Licensed Clinical Professional Counselor is accepting current Family Care patients only.

Kari Thompson, Registered Play Therapist/Licensed Clinical Professional Counselor is accepting current Family Care patients only.

Morgan Probst,  Licensed Clinical Social Worker is accepting current Family Care patients only.