Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.
Total Patient Care, llc and Skin First website now available. We are proud to announce our website for your convenience
Total Patient Care’s new ChartMaker (r) Patient Portal. This on-line tool gives you the flexibility to access your health information and other resources at your leisure – any time of the day and from any location
Our Goal is to provide the Best Health Care to all of our Patients. To optimize this care, we ask that when you receive medical care or diagnostic testing outside of our office, you either…………
New Jersey Department Of Health – Vaccination Preventable Disease Program. New Jersey Immunization Information System (NJIIS) – Consent to Participate (IMM-32 JUL 12)
Patient Information form 2016
Policy for Unresolved Patient – Pay Balances. We reserve the right to add a Collection Fee of $25.00 to the Patient’s Account if Past Due 60 days or more and sent out to Our Collection Agency
“No Show” and Cancellation Policy. We reserve the right to charge $50.00 after a patient has four (4) No-Shows (or two 30 minute appointments) and or cancellations not giving 24-Hour Notice
New Patient Waiver
Notice of Privacy Practices
Patient Phone Consent Form
Patient Physical and History Form
Don't forget to bring your insurance information with you
In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.
We accept most types of health insurance. Please contact us for further details.
What We Offer