lease print out, complete, and bring the following forms with you to your appointment.
Please do not mail this information to the clinic
- Patient Information Sheet
- Health History Sheets (3 pages)
- Notice of Privacy Practices
- Financial and Appointment Policy
- HIPPA General Consent
- DOWNLOAD ALL
You will also need to bring the following information with you:
- Insurance information (including insurance cards)
- Photo ID of the patient and/or responsible party
- If your insurance requires a written referral please bring with you or make sure your physicians office has faxed to us.
- Office visit co-payment, deductible and/or co-insurance. (we accept cash, check and Visa, Mastercard, and Discover)
- Please let us know if you do not have insurance and we will be glad to work with you.