IDENTIFICATION

In the interest of protecting against identity theft, we require each patient to present a valid and current insurance card as well as a valid picture ID. A copy of your ID will also be scanned into your medical record.

INSURANCE CO-PAYS/OFFICE PAYMENTS

Patients are responsible for co-pays or office charges at the time of service. There will be an additional fee of $10 for all co-pays not paid on the day of the appointment.

We accept cash, checks, and most major credit cards. A $35 fee will be charged for a returned check.

UPDATED MEDICATION LIST

TEST RESULTS

Please bring copies of any x-rays, lab results or any other reports you’ve received from specialists since we last saw you

PEDIATRIC PATIENTS

Children under 18 years of age must be accompanied by a parent or legal guardian. A designated family member or friend may accompany the patient if consent has previously been signed and entered into the patient’s chart.”