Resources and Forms
New Patients
Please review and fill out the following forms PRIOR to your initial visit with us at True Physician Care, LLC. When noted below, you may SKIP the form IF YOU COMPLETE THE ONLINE INTAKE FORM you receive at the time of electronic appointment confirmation. You may submit these forms using the link below, via fax or mail, or you may drop them off to our office.
- Patient Registration (Skip if completing online intake form linked to appointment confirmation e-mail) [pdf]
- Medical History (Skip if seen within 3 years) [pdf]
- HIPAA Privacy Policy (Read-only. Do not return) [pdf]
- HIPAA Signature Form [pdf]
- Telemedicine Consent Form [pdf]
- Credit card-on-file authorization form [pdf]
- Medicare Opt-Out Contract (Medicare patients only) [pdf]
Please review the COVID-19 Screening Questionnaire within 24 hours of your scheduled appointment.
- COVID-19 Screening Questionnaire [pdf]
Current Patients
If you have new contact or insurance information after your initial visit, you may update it via the ONLINE INTAKE FORM you receive at the time of electronic appointment confirmation; otherwise, please fill out an updated Patient Registration Form. If you need to update your credit card information on file, please complete a new authorization form. You may submit these forms using the link below or bring them to your appointment.