Patient Forms

In an effort to make your appointment check-in process smoother and more efficient, here you can find a number of forms that you may fill out in advance of your appointment.

Authorization to Disclose or Release Health Information

If you want to have a medical record transferred from another doctor’s office to your new Sentara Martha Jefferson Medical Group office, please complete this form. Likewise, this form can also be used to authorize someone other than you to have access to information about your healthcare status on treatment. Just print and complete the form and bring it with you to your next appointment.

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