Forms & Policies

Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

• Patient Information Form
• Patient History Form
• Cancer Family History Form
• Patient Waiver consent Form
• No show fee policy Form
• Patient Responsibility for Correct Insurance Form
• Bladder health questionnaire Form
• Delivery Checklist
• Childbirth Education/Lamaze in office class Registration Form
• Childbirth Education/Lamaze on line class- Registration Form
• Cord blood collection fee form (OB patients)
• Credit Card Policy form

Office Policies

Appointments

Appointments can be made by calling our office during normal business hours.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.

Prescription Renewals

Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.

Financial

All office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office should you have any financial questions or concerns.