Welcome to Frontier

Start Your Care Journey

Complete this short form to get set up as a new patient. We'll have everything ready so your first visit is smooth, personal, and focused entirely on your health. Your information is kept strictly confidential.

Your information is private and securely submitted

Personal Information

First Name *

Last Name *

Date of Birth *

Home Address

Contact Information

Phone Number *

Email Address *

Preferred Contact Method *

Emergency Contact

Name

Phone

Medical History

Reason for Visit / Main Health Concern

Do you have any of the following conditions? (select all that apply)

Current Medications

Known Allergies (medications, foods, environmental)

Additional Medical History

Insurance / Coverage

Insurance Provider & Member ID (if applicable)

Insurance isn't necessary to become a patient — our Direct Primary Care memberships don't bill insurance. We do recommend keeping coverage for hospital visits, specialists, and emergencies.

Attach Documents (optional)

Upload your insurance card, photo ID, or any prior medical records you'd like us to review before your visit.

Click to upload files

Images or PDFs, up to 10MB each. Multiple files allowed.

Your information is submitted securely and only shared with Frontier Clinic staff.

New Patient Checklist

See what to bring and how to prepare for your first visit.

Vendors & Third-Party Inquiries

All vendors, suppliers, and third-party partners must contact the clinic by email only at admin@frontier.clinic. Inquiries submitted through any other channel — including phone, text, in-person, or social media — will not be reviewed or returned.