Appointment Information
What do I need for my appointment?
-
Registration Forms
-
Insurance card(s)
-
Photo ID (driver's license, passport, military ID, etc.)
-
List of current medications
-
Insurance Referral (if applicable)
-
Any pertinent referring physician notes, diagnostic tests, lab results, and images.
Please upload and send us your completed registration forms, a photocopy of the front and back of your insurance card(s) and ID, and any other applicable documents, at least 24 hours prior to your appointment.
Download Forms
Patient Registration Forms
Click to download. Includes all the forms below.
-
Registration
-
Release of Information and Payment Authorization
-
Consent and Authorization for Treatment
-
Permission to Disclose Protected Health Information
-
Telehealth/Virtual Visit Consent
-
Financial and Payment Policy
-
New Patient Summary Form
Travel Clinic Forms
Upload Forms and Documents
Please upload your completed registration forms and all other applicable documents at least 24 hours prior to your appointment.
24-hour Cancellation Policy
Cancellations must be made at least 24-hours prior to your appointment time.
If you need to cancel or reschedule an appointment for any reason, please call our office immediately. Same-day cancellations and/or failure to show for your appointment will result in a $50.00 charge.
Your content has been submitted.