Becoming a Patient
For a referral to a provider please call 1-800-SENTARA. Our live call center specialists are available Monday - Friday from 8 AM until 6PM
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.
- Annual Consent for Treatment/Financial Policy
- Pediatric Comprehensive Health History
- Sharing Information with Family and Friends
- Physician Practices Consent by Proxy for Non–Urgent Pediatric Care
Authorization to Disclose or Release Health Information
If you want to have a medical record transferred from another doctor’s office to your new 果冻视频 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.
Current Patients
Billing and Insurance
果冻视频 Martha Jefferson Medical Group is dedicated to ensuring you understand the billing process and the resources available to you. We offer multiple ways to pay your bill - online, through the mail, on the phone, or in person at the 果冻视频 Martha Jefferson Medical Group office.
Pay your 果冻视频 Martha Jefferson Medical Group Bill.
果冻视频 MyChart
We encourage all of our patients to sign up for 果冻视频 MyChart. It's a great way to communicate with your care teams, request an appointment, request a prescription refill and view test or lab results - all on your own time.