This page is an introduction for first-time patients to my practice. Here, you’ll find everything you need in preparation for your first office visit. Please take some time to familiarize yourself with my office policies. You may find there are some important differences between how my office runs and what you’re used to at your current medical office. In particular, please take note of my refill policy. You also need to read through a standard HIPPA privacy policy, which details how I keep your medical information confidential. If you have any questions about the policies, please ask me at the beginning of your appointment, and I’ll be happy to clarify.
If you have insurance that I accept, please remember to bring your insurance card to your visits. (The insurances I currently participate with are listed at the end of my policies.) If you have a copay, that will be due via cash or check at the time of your visit, and I will submit the rest of your bill to the insurance company for you. If your insurance company then tells me you’re responsible for a coinsurance, deductible, or an uncovered service, I will send you a bill for the balance via email.
If you have insurance that I do not currently participate with, your payment will be due on the day of your visit, and I will print an invoice for you to submit to your insurance company for reimbursement as an out-of-network provider. If you are without insurance, payment is due on the day of your visit. Please call if you have questions about the average cost of office visits. Currently, I only accept payment with cash or check, so come prepared.
Next, please print out the forms below, fill them out, and bring them to your first visit. If you have trouble accessing the forms for any reason, please contact me at 888-480-1115, and I’ll help you find a solution.
* An acknowledgement that you’ve read and agreed to the office policies and HIPAA privacy statement. If the patient is under 18 years old, please be sure to list all parents/guardians on the line provided.
* A new patient registration form
* A health history form
* A release authorization form if you wish to transfer records from a previous physician. After you fill out this form, you can deliver it to your previous doctor’s office so that they can begin to process the request immediately. Alternatively, you can bring the form with you to your visit and I can fax it for you. (If you do this, please come ready with your previous provider’s fax number.) If you’re unsure about if you need to do this, simply bring the form to the visit and we can decide together. Generally, I like to see records if there are complicated medical issues that need follow up, abnormal test results, or pathology reports from a breast biopsy, for example. If you’ve been healthy with only typical colds/coughs and routine care, transferring records is often unneeded.