Information Requirements
At the time of your visit, our receptionist will ask you
to complete a patient information form. Since it has a bearing on your
health and physical status, we need to know your occupation, age, and
other personal information. This information is also used to complete
insurance claims forms. You will be asked to sign an authorization for
release of medical information and authorization for your insurance company
to pay the doctor directly for charges incurred. All information you provide
to us is strictly confidential.
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