Jersey Coast Family Medicine LLC


Conveniently located a short distance from Ocean Medical Center, Jersey Coast Family Medicine is a state of the art facility designed to manage your family’s complete healthcare needs. We use cutting edge diagnostic equipment and an electronic medical record system to ensure the successful management of your health.


Jersey Coast Family Medicine’s electronic medical record system allows our courteous and caring staff to track, store and maintain your vital information so that you can stay up to date on important health items including: vaccines, screening colonoscopies, mammograms and other age appropriate screening tests. As an added benefit, most prescriptions can be sent electronically to the pharmacy of your choice


Our patients have the ability to access their own health information via the Patient Portal.  Via their web browser, patients are able to view and print their lab results, make appointments, e-mail the Doctor and pay their bill all in the comfort of their own home.


What to Bring to Your Appointment

  1.    Your insurance card

  2.    Your current medications (please bring your actual medication bottles)

  3.    Recent x-rays, radiology reports or test results related to your condition

  4.      Copy of your chart from your previous physician if available

Insurance and Payment Information

    Jersey Coast Family Medicine LLC and its physicians are providers for Medicare and most major insurance plans.  We bill insurance companies directly.  You are responsible for charges not covered by insurance at the time of your visit.  Also, your insurance company may require a co-payment at the time of your visit.  When necessary, our staff will work with you to set up a payment plan.  Please do not hesitate to call us with any questions you have with regard to your bill or which insurance plans we accept.  Questions regarding your insurance coverage should be directed to your insurance company.


HIPPA and Patient Privacy

    Here at Jersey Coast Family Medicine LLC we strive to maintain the highest levels of security with regard to your personal and health information.  We follow government regulated HIPAA guidelines.  As well, our electronic medical record is designed with security in mind.  At your first visit, you will be asked to review our HIPAA policy and electronically sign the acknowledgment that you did so.


Office Forms

    Below are our office forms for you fill out.  Some of them are interactive and can be filled out on your computer. They can then printed and brought to the office with you for your first visit.  Note that on the Patient History Form you will need to circle some answers.  Also, in some instances, the files may take a few moments to download so please be patient.


Communication Consent

Patient History Form

Intake Forms

Patient Demographics


Insurances We Accept

  1. Medicare

  2. Railroad Medicare

  3. Amerihealth

  4. Beechstreet

  5. Emblem

  6. Devon

  7. CHN

  8. Cigna

  9. Health Care Payers Coalition

  10. Intergroup Services Corporation

  11. Operating Engineers Local 825

  12. Coventry Health

  13. GHI

  14. Great West

  15. Magnacare

  16. Qualcare

  17. Horizon BCBS

  18. Empire BCBS

  19. Aetna

  20. United Healthcare

  21. Oxford

  22. HealthNet

  23. Multiplan

  24. PHCS

  25. Tricare