Before Your Visit

Everything you need to be prepared for your first visit

Patient Access Appointment and Forms

POLICIES AND PROCEDURES

Most major insurance plans are accepted.

Be sure to check with us to ensure that our doctors are part of your insurance provider’s network. Please note that we are considered a medical specialty, and as such, you must obtain the necessary referrals from your primary care physician in advance of a first appointment with us.

We know your time is precious, but at the same time, we like to give all of our patients high quality medical care. If emergencies, deliveries or unforeseen circumstances arise during patient appointments to delay us more than 30 minutes, we will inform you and offer you the opportunity to reschedule.

If you are unable to keep your appointment, please call us to cancel as soon as possible. We will bill you a $25 fee for any appointment that you miss without prior cancellation at least 24 hours in advance.

Payment for services or co-pays are due at the time of the appointment.

FORMS

NEW PATIENTS:

If you’re a first time patient, we’d like to help speed you through your initial appointment with us. Take a moment to print and complete the following forms. The first option listed, the New Patient Packet, has all the forms combined into one document for your convenience to print together. Alternatively, you may choose to print forms individually. There are only two forms that don’t require signatures or to be filled out. The Binding Arbitration form and the Notice Of Privacy Practices forms may be read online without being printed for those conserving ink and paper.

Be sure to bring all signature forms with you to your appointment.

New Patient Packet, Complete (18 pages) >>Download Form Now
“Welcome” To Our New Patients (1 page) >>Download Form Now
Binding Arbitration, English & Spanish (2 pages) >>Download Form Now
Notice of Privacy Practices (6 pages) >>Download Form Now
Receipt of Notice of Privacy Practices (1 page) >>Download Form Now
Patient Information (1 page) >>Download Form Now
Financial Agreement (1 page) >>Download Form Now
Health History Questionnaire in English (2 pages) >>Download Form Now
Health History Questionnaire in Spanish (2 pages) >>Download Form Now
Auth for Request of Medical Records (1 page) >>Download Form Now
Auth to Release Medical Records (1 page) >>Download Form Now

Patients who wish to watch and listen to Binding Arbitration details in a video may find them in English and Spanish on the ‘Binding Arbitration’ tab at the top of this page.

EXISTING PATIENTS:

From time to time, you may require for us to release a copy of your records to another medical institution. To do so, you must fill out a Medical Release form.

Medical Release Request >>Download Form Now

WEIGHT LOSS PATIENTS:

Those patients joining our Weight Loss program will need to fill out a number of forms prior to their first visit.

Diet and Exercise History >>Download Form Now
Patient Release >>Download Form Now

Please find Binding Arbitration videos and forms in both English and Spanish below.

Download English Binding Arbitration Form

Binding Arbitration Video in English – Press Play to Watch

Download Spanish Binding Arbitration Form

Binding Arbitration Video in Spanish – Press Play to Watch

INSURANCE PROVIDERS

We accept most major insurance plans with the exception of a few specific plans. We are not providers for: Aetna Premier, Alliant, any out of state BCBS HMO, Champa VA/TriCare or any form of Medicaid.

For a look at a list of our 25 most common insurance plans accepted, CLICK HERE. Please note that this is a non-exhaustive list and we welcome you to give the office a call if you are unsure about your particular plan.