423-794-5500

Patient forms

Do you want to become a SOFHA patient?

Complete our New Patient Request Form and a member of our team will contact you.

Questions? Email help@sofha.org
Our team responds to messages Monday-Friday 8:00am – 5:00 pm.
To protect your privacy, please do not include personal health information in your email.

Patient forms

Find your clinic here

New Patient Form (Printable)

New Patient Packet

Record Release Form

Have Paperwork Mailed

New Patient Form (Printable)

Patient Paperwork

Record Release Form

HIPAA

Payment Policy

Record Release Form

New Patient Packet

Patient Registration Forms

Record Release Form

Acknowledgment of Notice of Privacy Practices

New Patient Form (Printable)

New Patient Packet

New Patient Request Form

Record Release Form

New Patient Form (Printable)

New Patient Packet

Record Release Form

HIPAA Form

Sports Physical Form

Record Release Form

Patient Paperwork

Referral Form

Record Release Form

New Patient Form (Printable)

New Patient Paperwork

Record Release Form

JC Pediatrics HIPAA

Sports Physical

Record Release Form

New Patient Form (Printable)

Record Release Form

New Patient Form (Printable)

Record Release Form

New Patient Form (Printable)

Record Release Form

New Patient Form (Printable)

Record Release Form

Amerigroup PCP Change Form

BlueCare PCP Change Form

Health History Form

Medication Dosing Chart

New Patient Packet

Patient Agenda Form

Sports Physical Form

Records Release Form

United Healthcare Community PCP Change Form

Yearly Update Paperwork

New Patient Form (Printable)

New Patient Paperwork

Patient Advisories and Policies

Patients Rights and Responsibilities

Record Release Form

Amerigroup PCP Change

Bluecare PCP Change

Health History Form

Medication Dosing Chart

New Patient Packet

Patient Agenda Form

Sports Physical Form

Record Release Form

United Healthcare Community PCP Change

Yearly Updated Paperwork

Annual PAP Follow Up

DME Supplier List

Epworth Sleepiness Scale

HIPAA Form

New Patient Packet

New Pediatric Patient Packet

Record Release Form

New Patient Form (Printable)

Notice of Privacy

Notice of Nondiscrimation

Interpretation Services

Record Release Form