New Patient Forms
To help make your visit as smooth as possible, please complete your new patient paperwork before your first appointment.
You may choose one of the following options:
- Print and complete the appropriate forms and bring them with you to your first visit.
- Complete your paperwork online by selecting the link below prior to your appointment.
Completing your forms in advance helps us provide you with the best possible care and ensures a more efficient check-in experience.
For your convenience, you may access the following forms to assist us with your care. Please print and fill out the appropriate forms, and bring them with you to your first appointment -OR- Please select the provided link to complete your new patient paperwork prior to your first appointment.
All Patients
Adults
- Adult New Patient Packet
- Adult New Patient Packet (SPANISH)
- Advance Directive for All Adults (SPANISH)
Allergy Asthma and Sinus
Pediatric
Additional Resources
- JCMC Medical Information Release Request To JCMC
- Medical Information Release Request From JCMC
- Notice Of Privacy Practices
- To Enroll or Request a PCM Change
- TRICARE PCM Change Form
- Medicare Shared Savings Program Accountable Care Organizations
- Medicare Shared Savings Program Accountable Care Organizations (SPANISH)
- Childhood Vaccines: Top 14 questions with the nuance you may be looking for.
- COVID-19: The Disease vs The Vaccine
- COVID-19 Vaccines: What’s in the vial?
- Do vaccines overwhelm the immune system?
- Hepatitis B
- Human Papillomavirus
- Influenza
- Flu Vaccine: What’s in the vial?
- Measles, Mumps & Rubella (MMR)
- 7 Reasons Why Measles is More Dangerous Than You Think
- What to do if you were exposed to Measles
- Meningococcus
- Pneumococcus and Adults
- Shingles
- Types of Vaccines
- Vaccines During Pregnancy
Behavioral and Mental Health
- Authorization for Release
- NOTICE OF FINANCIAL POLICY – BMH
- Review of Systems
- Telemedicine Consent to Treat