Online Patient Forms


Terms of Use
By agreeing to the terms of our Online Prescription Renewal Request,Patient History & Appointment forms, you will enter a secure area of our site. Jim Turnage, MD, MPH, A Professional Medical Corporation, will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by employees of Jim Turnage, MD, MPH, A Professional Medical Corporation.

Your request will be processed within 24 hours, during normal business hours, Monday - Friday, 9:00 am - 5:00 pm, excluding holidays.

If you do not accept the terms of this disclaimer outlined above, you will not be able to process your request on-line.

Appointment Request Form                     Agree

Patient History Form                                Agree

Prescription Renewal Form                      Agree