​​​​Community Medical Center


To save you time at your first appointment with us, below is a link to all the forms that require completion prior to your first visit.  Please download the forms, fill them out, and bring the completed forms with you.  This will help expedite the registration process. You can go to patient portal and register there also.


​If you have any questions, please don’t hesitate to call us. Monday thru Friday: 9am to 5pm  (812) 590-1600.

The documents are formatted in Adobe.  If you don’t have Adobe Reader on your computer, you need to download it before downloading the forms.  Click on the forms below to download.


Thank you for choosing Community Medical Center (CMC) for your healthcare needs.  On this page you will find forms and information that will help you better understand what you need to get the most out of your visit.  You will also find copies of all our forms which you can print and fill out before coming into the office to save you some time.  Finally,  if you are already a patient with us, there is a link that will take you to our Patient Information online.

Community Medical Center in Jeffersonville


Empowering People and Changing Lives​

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Make the Most of Your Visit

Patient Info



The key to a great doctor visit is to be prepared and to ask questions that you need answered.

Bring

  • Please bring your valid ID and insurance card.

  • Complete the New Patient Forms in advance and remember to bring them to your appointment.

  • A detailed list of any symptoms or problems that are prompting the visit.

  • A list of all medications, vitamins, and supplements that you are taking.

  • A list of questions you want to ask about your health, so you don’t forget.

  • Inform your doctor of any changes to your health history, such as weight loss or gain, modifications to diet, new exercise program, altered sleep patterns, etc.


Ask

  • Your doctor to explain things in a way you understand.

  • When you will get the results of any tests that are performed.

  • If you need help managing your care between different providers or specialists.

Patient Info - Banner

New Patient Forms

Patient Portal

Visit our patient portal online and register today to access your direct link to Community Medical Center. You can ask questions, Schedule your appointments, review your records, and carry out certain other useful activity.

 Call Us: (812) 590-1600

Complete Medical Care, All in one Location