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APPOINTMENT CHECKLIST FOR NEW PATIENTS

Please complete the New Patient Information Form and present them to our Receptionist at the time of your appointment. 

Please be sure that you have the following at the time of your appointment: 

• A valid picture ID, driver’s license, etc. This will be copied at the time of your appointment. 

 

• Your current health insurance card is required and will be photo copied at the time of your appointment. 

 

• If your health insurance requires a co-payment or you have not met your deductible, this will be required at the time of your visit. We accept all major credit cards, cash or check. 

 

• Please bring any medical records, x-rays, MRI scans, CT scans or other studies that you have recently had completed. 

 

• Please bring a list of your current medications. 

 

• If a patient is a minor (18 years of age or younger), a parent or legal guardian must accompany the patient to their appointment, or the patient must have a written consent from a parent or legal guardian in order to be seen / treated by a physician. 

NEW PATIENT INFORMATION

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TRANSFORMATION CENTER

TRANSFORMATION CENTER

NEW PATIENT CONSENT

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