Patient Forms

RTMC New Patient Form – All new patients, please down load this form an bring it with you completed to your first appointment

Medicare Claim Form – RTMC offer immediate claiming on the same day as your appointment (with a valid medicare card) Manual Medicare claim forms can be printed if you prefer to post your claim or attend a Medicare Office.

Request a Prescription Renewal – Fill out this online form to order a renewal of an existing prescription. Some limitations apply.

Request a Referral Replacement – Fill out this online form to request a replacement of a lost specialist referral form, or to request a new referral to a specialist you have already seen. Some limitations apply.