Treatment for injuries and pain
Atlantic Coast Medical Care Resources
We realize that coming into a new medical office is always a bit difficult. At Atlantic Coast Medical Care, we do everything we can to put you at ease and to help ensure you have the information you need to make your first visit, and all future visits, comfortable and stress-free.
Online Access to Forms
Filling out forms is an important part of your first visit. This allows our team to have the information necessary to enter your data into the system for record keeping purposes.
To make this step easier, we provide all the forms our office requires on this page. Simply click on the specific link or links below, and print the form. This gives you time to check your records, look up information, and complete the form before the date of your appointment.
All patients will need to complete the New Patient Registration Form, the New Patient Health History Form, and the Medical Records Release Form. The Insurance Information form is helpful to expedite claims and payment requests from your insurance company, if applicable.
Patients seeing our team at Atlantic Coast Medical Care due to an automobile accident should also complete and bring the Automobile Accident Insurance Information form.
If you have any difficulties in completing the forms, or are not sure about a question or requested information, contact a member of our staff at 904-996-8293. You can also submit a question through our online contact form by clicking on the contact button at the top of page or clicking here.