Forms:

• Authorization to Release Medical Information
• Consultation Request Form (Providers Only)
• Patient Information Form
• Privacy Notice (HIPAA)

Medicare Annual Wellness Visit:

• Medicare Annual Wellness Visit Information Guide

TPMG Peninsula Internal & Geriatric Medicine has been serving patients in the Medical Pavilion at Mary Immaculate Hospital since 2008.

Patients are seen by appointment only. If there is an urgent need, we have an answering service that takes our calls after hours and they will page one of our on-call physicians for true emergencies. Please do not call after hours for refills.

We are proudly accepting new patients and continue to care for patients during and after their hospital stay.

All of our physicians are well-trained professionals in their field and have medical staff privileges at Mary Immaculate Hospital.

Please request prescription refills during your regular appointment with your physician, or ask your pharmacy to fax us your refill requests to be processed. Please allow 48 hours for us to process your refill requests. Please do the same for referral requests, and allow 2-3 business days for us to process these.

We do offer lab services in our office for your convenience. Please call our office to schedule an appointment.

If you have any questions about your bill, please contact our office manager. If you have questions about your insurance, please contact your insurance carrier.