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Fill Patient information
& Authorizations,
(click to download)
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Fill out the patient
history form - available in this website (click here to download)
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Sign and Date
Acknowledgement of Receipt of Notice of Privacy Practices (HIPAA)
(click to download)
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Arrive 30 minutes before scheduled appointment time.
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Bring your insurance card -
We will call your insurance company to verify coverage & deductibles
- any deductibles will need to be paid prior to being seen - if
payment not made we reserve the right to cancel/reschedule
the appointment.
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Copays & Deductibles are
due prior to the visit, we will not bill you for this. We accept cash or
checks only.
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Bring any previous medical records if available.
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Bring ALL your medication BOTTLES (just a LIST is not enough).
