New Patient Information Packet: Four pages. Print and fill out. Remember to bring paperwork, insurance cards, and IDs to your appointment.
Web version TJC Patient Paperwork
Patient Privacy Information (HIPAA):The HIPAA Privacy Rule, which protects the privacy of individually identifiable health information, and the confidentiality provisions of the Patient Safety Rule, helps protect identifiable information being used to analyze patient safety events and improve patient safety. Please review the provisions followed at our office.