First Visit
New Patient Forms
Completing your forms is the first step toward scheduling your first appointment.
Three ways to complete your forms
- Fill out the fillable PDF electronically
- Print and complete by hand
- Pick up a paper packet at the office
Submit by
- Email — drj@sethjarrellmd.sprucecare.com
- Fax — (256) 767-5943
- Mail or drop-off — 204 Ana Dr, Suite B, Florence, AL 35630
Insurance
For most insurance plans, no referral is needed. Some plans — including BCBS/Obamacare plans — require a referral from your primary care physician before your first appointment. We accept Medicare.