Patient Information
Below you will find important patient information, forms, and policies. Please click or tap the (+) button to expand each topic.
Your First Visit
We want your first visit with us to be an excellent experience. To help make sure everything goes very smoothly for you, here are some important steps you can take.Before Your Visit
Please print out the new patient questionnaire form, fill it out, and bring it with you on the day of your appointment.
New Patient Forms
You will also need to bring the following items:
- Photo ID
- Health Insurance Card
- Family Member/Interpreter (if needed)
- List of all Medications Currently Taken
- Method of Payment for any Co-Pay fees
During Your Visit
You will be greeted by the front office staff and then taken back to an exam room. Your doctor will ask you questions about your health history, current symptoms, and other related questions. You will undergo a physical examination and the doctor will speak to you about any additional exams or procedures needed. Routine first visit exams take approximately 30-45 minutes.Returning Visit
For follow-up visits to our office, please print out the Returning Patient History Form, fill it out, and bring it with you on the day of your appointment.Returning Patient History Forms
You will also need to bring the following items:
- Photo ID
- Health Insurance Card
- Family Member/Interpreter (if needed)
- List of all Medications Currently Taken
- Method of Payment for any Co-Pay fees
Insurances Accepted
We currently accept the following insurances. If you do not see your insurance listed here, please call our office and inquire.- Medicare Primary and Secondary
- Blue Cross Blue Shield
- Health Options
- United Healthcare PPO
- United Healthcare HMO
- Aetna HMO
- Cigna HMO
- Secure Horizons (United Healthcare)
- Humana
- Other plans include Optimum, Universal, Freedom
Medication Renewal
Please call our office at least 7 business days before your medication runs out. Depending on the medication, we may require you to see your Doctor in the office before giving you the prescription renewal. We require that our patients see us at least once a year in order to keep receiving medications for chronic illnesses such as acid reflux, or inflammatory bowel disease.Authorization for Procedures
It is our responsibility to get authorization for your procedure from your insurance company. We will also make every attempt to notify you well in advance of any co-payments that you may need to pay before the procedure. We do expect the co-payment at least 72 hours before the procedure.Medical Records
We will be happy to provide you with a copy of your medical chart, or fax the information to any physician you want. We do require a signed release of information form before releasing the information to anyone other than yourself.Cancellation Policy
As a courtesy to other patients, our staff, and our physicians, please call us:- at least 24 hours in advance to cancel an appointment
- at least 72 hours to cancel a procedure
Call us at (727) 846-7031
