New Patient Form


Your Initial Office Visit

We are  always accepting new patients.  Our office sees patients as young as fourteen (with up-to-date immunization records).  Before your initial visit, we ask that you please print out and fully complete our new patient paperwork:  HIPAA Release FormPatient Information and Medical History.  Along with your paperwork, please bring your licence and most up-to-date insurance card(s).

If you are going to bring any of your own medical records, we ask that you please only bring the most recent preventative testing (labs, specialists' reports/testing, colonoscopy, mammogram, dexa scan). 



We accept most major commercial and HMO insurance plans.  In addition we also accept Medicare, Champus/Tricare and many others.

We do not accept Medicaid or AmeriGroup.  We also do not accept Worker’s Compensation or Motor Vehicle Accident cases.

We suggest contacting your insurance company to see whether or not we are 100% a participating provider in your network.

Dr. Thomas Marzili
733 Route 70 East, Building 2, Suite 201
Marlton, NJ 08053
Phone: 609-451-2020
Fax: 609-451-2021
Office Hours

Get in touch