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SECURE, FILL-IN FORMS
WHY WAIT TILL YOU REACH THE OFFICE TO FILL OUT ALL THE NECESSARY FORMS FOR NEW CLIENT REGISTRATION? BY DOING SO BEFORE-HAND, YOUR INSURANCE ELIGIBILITY AND CONTACT INFORMATION WILL ALREADY BE PROCESSED BY THE TIME YOU ARRIVE FOR YOUR FIRST DOCTOR'S VISIT!
IT MAKES COMMON SENSE THAT PREPARATION BEFORE ANY PROCEDURE OR EXAM TRANSLATES TO IMPROVED OUTCOMES! SO WHY SHOULD IT BE DIFFERENT FOR DOCTOR VISITS? THIS MEDICAL FORM PROVIDES VITAL INFORMATION THAT THE DOCTOR CAN REVIEW BEFORE YOU ARRIVE FOR YOUR FIRST VISIT!
...A SECURE MEANS OF PAYING YOUR HEALTH INSURANCE DEDUCTABLE, CO-PAY OR STATEMENT BALANCE DUE ON YOUR ACCOUNT.
THIS ON-LINE SERVICE IS AVAILABLE 24 HRS A DAY, AT YOUR CONVENIENCE!
IF YOU HAVE AN EXTENSIVE MEDICAL HISTORY, IT MAY BE IN YOUR BEST INTEREST TO COMPLETE THIS FORM AND SUBMIT IT TO YOUR PREVIOUS MEDICAL PROVIDER SO THAT YOUR INFORMATION MAY REACH US AS SOON AS POSSIBLE -- IDEALLY, BEFORE YOUR FIRST VISIT!
THIS FORM REQUIRES ADOBE READER (VERSION 5 OR HIGHER), A DOWNLOADABLE PROGRAM WHICH WILL ENABLE YOU TO COMPLETE THE FORM DIRECTLY ON YOUR COMPUTER, SAVE AND PRINT IT LATER OR FILL OUT BY HAND. INSTRUCTIONS ARE ON THE FIRST PAGE OF THE FORM.
SUBMIT THIS FORM ASAP IF YOU HAVE ANY CHANGE IN YOUR ADDRESS, PHONE OR HEALTH INSURANCE INFORMATION! (FORM IS LOCATED ON A SECURE SERVER)
BY SUBITTING THIS INFORMATION BEFORE YOUR NEXT VISIT, INSURANCE ELIGIBILITY AND OTHER NECESSARY DATA WILL ALREADY BE PROCESSED, ALLOWING US MORE TIME TO SPEND ON WHAT'S REALLY IMPORTANT -- YOUR HEALTH!
6/ **active patients: PRE-VISIT FORM .....note: this form is currently in revision.
COMPLETE THIS MEDICAL FORM BEFORE YOUR NEXT VISIT. THE DOCTOR WILL REVIEW YOUR INFO BEFORE YOU ARRIVE, THEREBY ALLOWING MORE TIME TO BETTER ADDRESS YOUR PERSONAL MEDICAL CONCERNS!
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IMPORTANT OFFICE DOCUMENTS
ADOBE READER VERSION 5 (OR HIGHER) IS NEEDED FOR VIEWING
AND/OR PRINTING OF THE FOLLOWING DOCUMENTS.
PLEASE VISIT "WEB-TOOLS" FOR A
LINK TO A FREE COPY OF THE LATEST ADOBE ACROBAT READER.
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INFORMATIONAL POSTERS AND BROCHURES
ADOBE ACROBAT READER IS ALSO REQUIRED FOR VIEWING &/OR PRINTING
