New Patient Information Thank you for choosing Jefferson Internal Medicine for your health care needs.  For your convenience we have our new patient forms available to download.  Once you have completed the forms, they can be uploaded to us via the PATIENT PORTAL or faxed directly to us at (412) 469-7745.  If you are not able to send us the completed forms electronically, then please bring them with you to your appointment.     New Patient Health History Health History Form for New Patients to bring completed to their first appointment. Medical Records Release TO our office Form used to have your medical records from other doctors sent to Jefferson Internal Medicine Notice of Privacy Practices This notice describes how medical information about you may be used or disclosed.