Patient Resources
Supporting your health journey with easy access, education, and care.
Welcome to Jax Premier Health Center
At Jax Premier Health Center, we believe that an informed patient is an empowered one. This page provides the essential tools, forms, and information you need to make your care experience seamless—from your first visit to ongoing management of your health.
New Patient Information
We’re excited to welcome you to our practice. To help make your first visit as smooth as possible, please complete the forms below prior to your appointment and bring them with you.
Before Your Visit:
- Complete and print New Patient Registration and Medical History forms
- Bring a valid photo ID and insurance card
- List of current medications and dosages
- Copies of recent labs, imaging, or specialty notes (if applicable)
Downloadable Forms:
- New Patient Registration Form (PDF)
- Medical History Form (PDF)
- HIPAA Privacy Acknowledgment (PDF)
- Consent for Treatment (PDF)
- Telehealth Consent (PDF)
If you have questions or need help completing forms, please call our office at (904) 486-2055.
Insurance & Billing
We also offer:
- Self-pay and membership options for patients without insurance
- Concierge care services for enhanced access and personalized support
- Flexible payment options for non-covered services
- Self-pay and membership options for patients without insurance
- Flexible payment options for non-covered services
Billing Questions: Please contact our billing office during business hours if you need assistance understanding your bill, coverage, or payment options.
Patient Portal
Our secure patient portal gives you convenient, 24-hour access to your health information.
- View lab and imaging results
- Send secure messages to your provider
- Request prescription refills
- Update insurance and contact information
- Pay bills online
Prescription Refills
For medication refills:
- Use the Patient Portal for faster processing, or
- Contact your pharmacy directly to send a refill request electronically
- Flexible payment options for non-covered services
Please allow 2 business days for refill processing. Controlled substances require an in-office visit.
Insurance & Payment Options
For patients without insurance, we also offer cash pay options for your convenience.
- Credit / Debit Card
- Zelle
- Cash App
- Secure payment through the Patient Portal
Telehealth Services
For your convenience, we offer secure virtual visits for follow-ups, medication checks, and certain medical concerns.
How to Schedule a Telehealth Visit:
- Call our office or request an appointment through the portal
- You’ll receive a secure video link before your appointment
- Ensure your device has a camera and stable internet connection
Health Education & Wellness
We are dedicated to preventive medicine and long-term health improvement. Explore our resources on:
- Chronic Disease Management: Diabetes, hypertension, high cholesterol
- Preventive Care: Annual physicals, vaccinations, women’s health screenings
- Weight Management & Metabolic Health: GLP-1 medications, nutrition guidance, fitness recommendations
- Hormone & Cardiovascular Health: Restoring balance and supporting heart wellness
Office Policies
To ensure every patient receives quality care in a respectful environment, please review our office policies:
All patient information is protected under HIPAA confidentiality standards
Payment is due at the time of service unless prior arrangements are made
Repeated late cancellations or no-shows may impact future scheduling privileges
