In preparation for your upcoming visit with an IRMC Physician Group/Punxsutawney Physician Group provider, we ask that you please print and complete the following paperwork to ensure a seamless check-in process. Please note that your specialist office may also have specific paperwork that you need to complete at the time of your visit.
- New Patient Registration
- Telephone Protocol
- Authorization for Release of Medical Records
- Financial Agreement
- Patient Consent
- No Show, Late, and Cancellation Policy
- Workers Compensation Information Form
- Notice of Nondiscrimination
At your convenience, please review our Joint Notice of Privacy Practices or print a copy of the Patient Rights and Responsibilities.
For any questions regarding necessary paperwork, please call 888.452.4762.