Forms & Privacy Policy

If you wish to complete your patient information forms before your first appointment, you may download the following forms:

      Medical / Patient Information Sheet
      Financial Policy
      Easy Pay Plan
      Patient's Acceptance of Conditions and Releases
      Medical History Questionnaire

Please also bring your insurance card, and any co-pays, to your appointment.

The office of John S. Rollins, M.D., Medical Corporation accepts cash, personal checks as well as Visa and Master Card credit cards as form of payment. Ask about our Easy Pay Plan.