1. New Patient Registration Form.

 

2. New Patient Consent to Use and Disclosure of Health.

 

3. Release of Information form.

 

4. Outpatient Procedure Consent form.

 

5. Online Referral ( for referring physician).

 

 

 

 

We accept  SELF  referring patients  as well as patients through referring physician or other health care facilities. Patient should be aware of  their insurance policy with regards to referral requirement, if any. We are not responsible for confirming  pre-approvals from insurance companies for the initial appointment.

 

 

Appointments

We advice you arrive 15 minutes before the appointment for new patients. Incase you can not keep the appointment, you need to notify office 24 hours in prior  or on previous business day.

 

Payments 

We ask for payment at the time of your visit, unless other arrangements are made. We can accept payment in the form of cash, personal checks, and credit cards. In the case of checks or credit cards, we may need to confirm your identification using, for example, a picture driver license.