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.
If you are a NEW patient, please click the link provided or use the link sent to you via text message 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 (English)
- NOTICE OF PRIVACY PRACTICES (Spanish)
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
- 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
- Back-To-School Routine Immunization Campaign
- Is fluoride safe?