For your first appointment with R&J, please be sure to bring in a form of I.D. and your insurance card(s), along with one set of the forms below.
Patient & Practitioner Forms
Click on the form name to view and print. Please bring the completed forms to your first appointment. If you need assistance with any of these forms, please contact our office or arrive at least 30 minutes prior to your appointment. THANK YOU!
New Patients
New Patient Without Medicare | New Patients With Medicare | Para español |
Notice of Patient Financial Responsibility |
Patient Care and Use