New Patient Worksheets
Please download to fill out and
return via email, fax or bring with you to your first appointment.
Child & Adolescent Paperwork
Adult Paperwork
Office Policies
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Copayments are due at the time of service. Cash or credit are the only acceptable forms of payment.
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There is a fee for missed appointments as permitted by your insurance company and where not permitted, patients who fail to show to multiple appointments may be discharged from the practice.
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Bring your drivers' license and insurance card with you to every visit. If you are under 18, a picture or photo identification is still necessary.
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Arrive a few minutes early to complete the necessary paperwork.
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We do everything we can to validate your insurance coverage and benefits before your visit. However, it is still your responsibility to know the coverage and benefits of your insurance. If a service is not covered by your insurance, you are responsible for and will be billed for the outstanding amount.
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Drugs, alcohol, and weapons are not permitted on the premises.