Before you come in for your initial office visit, we ask that
you take a few moments to think about the details of your complaints in
order to help the doctor better diagnose and treat your problem. For example,
when did you first notice the symptoms? What triggered them? Have they changed
over time? What makes them better or worse? Is your pain Sharp? Dull? Throbbing?
Constant? Intermittent?
In addition, to help you get the most out of your visit, please write down any
questions you may have for the doctor. The "new patient" forms below will
help to capture the necessary information so that your doctor can diagnose your
problem.
Important: What to bring on your first visit.
The name and address of your referring physician.
Our office
will be mailing them a copy of your evaluation along with our recommendations.
Xrays or MRI films. The paper reports are not
sufficient. We prefer to have BOTH the hard copies and the
radiologist report for CTs or MRIs. If xrays are not brought in, your doctor will have
to shoot new films in our office.
Your current insurance card and picture ID. If
you do not have the medical insurance information you will have to pay
for your services at the time they are rendered.
Your insurance co-payment will be collected before
seeing your doctor. You can pay with a credit card/debit card in
case you do not have a check or cash.
Any other applicable billing information - i.e.
Worker's Compensation claim number, date of your injury, adjuster's
phone number.
The new patient forms which can be printed out and
filled out before coming in to see your doctor.
New patient forms:
Please read the form titles carefully so that you
do not fill out the wrong set. Bring the completed packets with you so
that they can all be put into your medical chart.
To ensure that your visit to our office is as
convenient and efficient as possible, we are pleased to offer a variety of
patient registration forms. Please print out the form and then fill
out. These office forms require Adobe Acrobat Reader
which you can download for free by clicking on the link below. Please be assured that this information is
strictly for our office use. Your personal and medical information is kept strictly
confidential. All new patients should fill out
either the private insurance forms OR the work comp/med legal forms.
New
Patient Registration Packet
