The TLC care model involves Nurse Practitioners providing primary care in the Assisted Living Facilities and Adult Care Homes.
If you or a loved one would like to have a TLC provider deliver care to you or someone you know, please call (520) 615-6200 to request a new patient packet, or download the forms by clicking each link below:
- Welcome Letter
- Authorization for Release of Information
- Notice of Privacy Practices
- Financial Policy
- General Policies
- Patient Record of Disclosure
- New Patient History
Once you have completed the forms, please mail or fax them to TLC. The mailing address is:
TLC HealthCare™ Companies
1775 East Skyline Drive, Suite 101
Tucson, Arizona 85718Our fax number is (520) 615-6255.
Note: you will need Adobe Acrobat or the free Adobe Acrobat Reader to print these forms out. If you don't already have Adobe Acrobat Reader, click here to download it; you can use it to print the PDF forms.
(520) 299-3968 • Copyright © 2005 TLC HealthCare™ Companies