Sometimes we need to get information out to our patients so you can be informed and prepared. To open the files below, you will need to have Adobe Reader installed.
FORMS & DOCUMENTS:
- New Patient Information
New Patient Information Packets are required to be FULLY COMPLETED for those never seen in our office or have not been within the last 3 years.
- Patient Information Record Form
Patient Information Record Form is for change of address, employer or other important family demographic information that has changed.
- Medical Records Release Form
Medical Records Release Form is used to request records from another medical facility.
- Health History
Health History Form to be completed upon request from our office.
NO SHOW POLICY:
We make every effort to make appointments in a timely manner, including same-day appointments as needed. However when patients fail to keep scheduled appointments, it not only makes our schedules ineffective but unfairly affects other patients. The following policy is in effect:
NOTIFICATION BY MAIL.
BILLED FOR OFFICE VISIT AND FAMILY MAY BE DISCHARGED FROM OFFICE.
We have an automated phone system that calls to confirm appointments the day before your scheduled appointment time. This is done as a courtesy.
It is your responsibility to remember your appointment day and time.If you are late for an appointment, you may need to reschedule for another day.
Please give us a call at (831) 757-8081 in advance if you cannot make your appointment time.