We have provided the necessary forms for you to complete below. You may print & fill out the forms at your convenience and bring them in on your first visit. If you are already our patient, but have had changes to your information, such as a new address, phone number or insurance, please print the first page of the New Patients forms and bring in the updated information when you come in.
Click on the links below to view the forms. They are in Adobe Acrobat format (PDF). If you need Adobe installed on your computer, click HERE.
- TMC- NEW PATIENT DEMOGRAPHICS and CONSENT FORM (Complete the Privacy Consent form listed as the HIPAA form BELOW)
- TMC-HIPPA FORM
- TMC-MEDICAL RECORDS RELEASE FORM
- CORPORATE GUARANTOR FORMS
- TMC RELEASE OF RECORDS (Consent to obtain your records from another Medical Facility)
- DURABLE POWER OF ATTORNEY (HEALTH CARE and ADVANCED DIRECTIVE)
