APPOINTMENT CHECKLIST

In preparation for your first visit to our clinic, please have the following items prepared and with you: 

Insurance card (if you have insurance)

Proof of Income –   If you are interested in a discount, please bring proof of income (your most recent pay stub).   If you don’t work, work for cash or any other circumstance, you can discuss that with the receptionist when you register.

Photo Identification (if you have one) or something with your address on it (a bill or bank statement)

All medications you are currently taking  – bring the physical bottles with you so your doctor can see the dosage information as well as medication name.

If you are transferring your care from another doctor or clinic and would like us to review your records we will also need a completed Release of Information:
Release of Information – English
– Release of Information – Spanish

A completed Release of Verbal Information:
Release of Verbal Health Information – English
Release of Verbal Health Information- Spanish

 

If you are an established patient, you will always need the following information at every appointment:

Insurance card (if you have insurance)

Identification (if you have one)

All medications you began taking since your last visit  – bring the physical bottles with you so your doctor can see the dosage information as well as medication name.