Forms
New Patient Form
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Office Guidelines
New Patients
New patients should arrive 15 minutes early for their appointment in order to complete patient information forms.
Late Policy
If you are going to be more than 15 minutes late, you may not be seen by the physician or nurse. You may need to re-schedule your appointment.
We request 24 hour notice of appointment cancellations so that someone else may take that appointment time.
Insurance and Payment Information
We are not a Medicare provider and we do not accept other insurance assignments. Patients are responsible for payment for services. We are considered an Out-of-Network provider for PPO insurance policies. Therefore, patients with PPO insurance can file for procedures which may be covered under their policy. We accept cash, or credit cards for payment of services.
We Do Not Take Checks.
Deposits
Certain long-term procedures, such as Sclerotherapy, will require a deposit when appointment is made. Please ask for more information.
Cell Phones
Please turn off cell phones when you are in our office.
Prescription Refills
Contact your pharmacist first or you may call our office for assistance.