Home Up Contents Search

Your Appointment
Up

 

 

 

On the Day of Your Appointment

Checklist

bulletPlease remember to bring written request for consultation (referral)  from your Doctor, Doctor Notes, ER Notes.
bulletPlease bring a list of medications that you are presently taking.
bulletIf our forms have been mailed to you bring them completed.
bulletPlease remember to bring any MRI, CT scans, or myelogram films.  Please do not mail X-rays.
bulletPlease bring a written confirmation for the responsible company or insurance carrier.
bulletPlease remember to bring your drivers license or photo I.D.and your current insurance  card.
bulletIf you have an attorney please bring their name, address and telephone number.
bulletIf you have been involved in a motor vehicle accident, please bring a copy of the police report, all insurance information, and any x-rays or doctor's reports.
bulletIf you have workman's compensation please bring carrier name, address, phone and your claim number
bulletPayment is due at the time of service.
bulletDelays- On the day of your appointment there may be delays on patient scheduling.    Sometimes the delays are necessary so that we can spend efficient time with each patient to make sure we take care of their plan of treatment.  We apologize in advance if this happens

A. Print off forms: Click here to print forms needed

    1. Intake form with comprehensive history and 22 point compliance check. 

    2. Consent/contract for evaluation and treatment with or without opiates

B. Complete forms legible

C. Bring completed forms to your office visit with any questions about forms.

 

 

Home ] Up ]

Copyright © 1999-2010