Patient Registration

 

Register as a New Patient

Welcome! We’d like to take this opportunity to welcome you to our practice and to thank you for choosing us. We are constantly striving to make our patients’ visits more efficient. We invite you to begin your new patient registration as soon as you’d like by following these directions:

Need help viewing, filling out, or printing these forms?

We encourage you to take a look at our PDF Help Page.

 

1. Print and fill out the Patient Registration Form or Register using our new e-Registration form below.

Print: New Patient Registration; Policies and Consents; Notice of Privacy Practices

Referring Physicians Only: Appointment Request Form (please fax)

 

2. Prepare for Your Office Visit

In addition to completing the above forms, We will also require the following information for your first visit:

  • Driver’s License or other valid Government-issued Photo ID
  • Insurance card and any co-payment due for your visit
  • Any applicable referral form(s)
  • Current medication list
  • Any pertinent medical history, such as lab results

 

3. Get Directions to our Office

Visit our Location Page to see a map of our office and get driving directions.

 

4. We Look Forward to Seeing You!

Evaluation of patients new to the practice will be facilitated by review of previous medical records. Patients are requested to forward this information into our office before their initial visit.

Please arrive 20 minutes early if you have not yet filled out these forms. If you have completed forms with you, you only need to check in with the reception desk 5 minutes before your scheduled appointment.

Thank you for your assistance in completing this information.  We look forward to seeing you on the day of your appointment!

 

Cancellation/No Show Policy

Our physicians and staff work very hard to meet the needs of our patients. We kindly ask that you give 24-hour notice if you need to cancel your appointment. As a courtesy, we attempt to make confirmation calls 48 hours in advance of your scheduled appointment, and we will attempt to leave a reminder message on your answering machine if there is no answer. However, you are responsible for notifying us if you will not be able to make it. A one time consideration will be made for failure to show up for your appointment. Any no shows thereafter will be charged as follows:

  • Routine office appointments: $20
  • Cosmetic appointments: $75
  • Surgeries: $100

Payment must be made before another appointment may be scheduled. Thank you for your understanding in this matter.