Patient Forms

We encourage new patients to utilize our online secure patient portal system.  You are able to fill out all of your new patient registration forms via this portal.  Once you are directed to the site, click on the FORMS tab and complete the "New Patient Demographics" and "New Patient Medical History" forms.  Once complete, click SUBMIT at the bottom of the page and they will be imported directly into your chart.  **NOTE: If you do NOT have Medicare as your insurance, you do NOT need to fill out the "Medicare Wellness Check" form. 

Please click the below link to be sent to our practice's portal site:

TIDEWATER FAMILY MEDICAL CARE SECURE PORTAL SYSTEM

(Site address is tfmcpc.myupdox.com )

If you are unable to complete the required forms online, please plan to arrive 15 minutes prior to your scheduled appointment time.  

All new patients will be required to bring insurance card and a photo identification card.  Please make sure you have these with at the time of check-in.

Prior to your appointment, please take a moment to read the "Notice of Privacy Practices."  You will be asked to sign that you have read and understand this notice.  It is not necessary to bring this form with you. 

NOTICE OF PRIVACY PRACTICES - EFFECTIVE 7/1/13

MEDICAL RELEASE FORM