Skip to content
Schedule Appointment Security Notice
  • JCMC Bill Pay
  • MHC Bill Pay
  • Patient Portal
    • Portal Login
  • Generic selectors
    Exact matches only
    Search in title
    Search in content
    Post Type Selectors
JCMC Logo JCMC Logo
  • For Patients
    • Care Management
    • Forms & Downloads
    • JCMC Blog
    • Insurance & Billing
    • New Patient Forms and Information
    • Resources
    • After Hours Medical Advice
    • Bill Pay
  • Find a Doctor
  • Locations
    • JCMC Allergy, Asthma & Sinus
    • JCMC Cape Carteret
    • JCMC Family Care Clinic
    • JCMC Morehead City
    • JCMC Neurology
    • JCMC Pediatric Acute Clinic
    • JCMC Pediatric Well Clinic
    • JCMC Richlands Family
    • JCMC Richlands Pediatrics
    • JCMC Sneads Ferry
    • JCMC Swansboro
    • JCMC Urgent Care
    • JCMC Wilmington
  • Specialities
    • Allergy
    • Family Practice
    • Neurology
    • Pediatrics
    • Urgent Care
  • Care Management
  • Patient Portal
  • Bill Pay
  • For Patients
  • Find a Doctor
  • Locations
  • Specialities
  • About
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors

Forms & Downloads

Forms & Downloadsme2026-02-06T14:01:46-04:00

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

  • NOTICE OF FINANCIAL POLICY
  • Map of our Main Campus (Jacksonville)
  • NOTICE OF PRIVACY PRACTICES

Adults

  • Adult New Patient Packet
  • Adult New Patient Packet (SPANISH)
  • Advance Directive for All Adults (SPANISH)

Allergy Asthma and Sinus

  • Allergy New Patient Packet

Pediatric

  • Pediatric New Patient Packet

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
  • Hepatitis Papillomavirus
  • Influenza
  • Flu Vaccine: What’s in the vial?
  • Measles, Mumps & Rubella (MMR)
  • What to do if you were exposed to Measles
  • Meningococcus
  • Pneumococcus and Adults
  • Shingles
  • Types of Vaccines
  • Vaccines During Pregnancy

Specialties

  • Allergy
  • Family Practice
  • Neonatology
  • Neurology
  • Pediatrics
  • Urgent Care

For Patients

  • Patient Portal Login
  • Patient Portal Enrollment
  • Bill Pay
  • Find a Doctor
  • Insurance & Billing
  • Forms & Downloads

Helpful Links

  • Employment
  • Referrals
  • Student Services
  • Notice of Privacy Practices
  • Website Privacy Policy
  • Terms & Conditions
  • Outage Log
  • Employee Dashboard
  • Email Breach

Send a Message

Contact Us

Please use the form below for any questions regarding services, appointments, doctors, or any other types of questions you might have.

First
Last
New Patient?
Copyright © 2020 JCMC Health | All Rights Reserved
Go to Top