New Patient Forms & Visit Information


 

New Patient Paperwork

Appointment Deposit Policy & Consent

YOUR FIRST APPOINTMENT 

  • Please arrive 15 minutes early to fill out New Patient Paperwork
    • To save time, you can print it out online under “New Patient Forms”, fill it out beforehand, and bring it with you!
  • Remember to bring:
    • All insurance cards 
    • Photo ID
    • Medical and surgical history
    • List of current medications 
    • Recent test results, imaging results, any relevant medical records
  • Payments
    • New patients will be asked to provide a credit card upon booking your first appointment, this will be used for a $100 charge in the event that you no-show to your appointment.
      • The credit card will NOT be charged unless you do not show to your scheduled appointment or contact us to cancel/reschedule at least 24-hours before. The charge will only be incurred once your appointment time has lapsed. 
      • We will need your signature on the “Appointment Deposit Policy and Consent” form prior to your appointment. We will email it to you for eSignature for your convenience. The link for eSignature can also be found here.
        • A copy of the policy and consent form can also be found at the top of this page.
    • New patients with insurance can expect to pay a copay (if required by your insurance).
    • New patients without insurance:
      • The cost of a new patient visit is $100
      • Any procedures, tests, x-rays, and additional services are extra. Please call the office for an estimate. Charges will also be discussed prior to rendering services. 
    • Payment is due at time of service. We accept cash, check, and credit cards.
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