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NEW PATIENT FORMS



**New Patients:
  • Please complete the above forms prior to your appointment. Arrive 20 minutes prior to your appointment time so that our Front Desk and Medical Assistant can do preliminary work-up in preparation to your visit with our Doctor. Items that we ask that you bring to your appointment are as follows: 1) Insurance Card(s) 2) Picture ID 3) ALL prescription medications and ALL over-the-counter medication bottles 4) Completed patient information forms.
  • Please be aware if your insurance requires a referral; it is your responsibility to inform your Primary Care Physician’s office that you will need a referral prior to your appointment with our Doctor. If you do not have a current, valid referral, your appointment will be rescheduled.
**Established Patients:
  • It is important that you update a change of insurance prior to your appointment as many insurances now require a prior authorization or referall. If we do not have a current or valid referral or authorization on file, your appointment will be rescheduled.
  • Please inform our front desk personnel as soon as possible of any change in contact information or address. 


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