What Is the Patient Information Packet?

The Patient Information Packet allows us to collect and give you information necessary before your appointment. By completing the packet prior to your appointment, you help avoid delays and ensure that your patient information is accurate. The following are included in the Patient Information Packet:

  • Basic Patient Information
  • Office Agreement
  • Health Information Portability & Accountability Act
  • Medical History
  • Review of Symptoms
  • Referrals: Insurance Authorizations
  • Financial Policy

Appointment Checklist

Make sure to bring these items to your appointment.

  • Completed Patient Information Packet
  • Insurance Card
  • Valid Form of Identification
  • Necessary Referrals (If Applicable)
  • Lab Results (If Applicable)
  • Pertinent Information from Other Physicians
  • Patient Information Packet

    Please download, read, and complete your patient paperwork before your appointment.