Patient Forms

The following is the easiest process for scheduling new patient visits.

When you have a new patient, please fax the following to our office as soon as possible:

  • Consent to treat, with release of medical records form.
  • Facesheet
  • Insurance cards
  • Recent ACHA 1823 (if available)
  • Any recent labs or diagnostic tests

Our office staff will enter the patient into our Electronic Medical Record and schedule the patient for the next provider visit day.

Getting this information early allows us to verify their insurance (which is a Medicare guideline) and prepare the providers schedule for that day.

Download Consent to Bill Form