FOR NEW PATIENTS

• New Patient Instructions

Bring any X-rays, lab results or other information pertaining to the reason you are to see your surgeon.

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Breast patients must bring their mammogram and sonogram films.

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Bring your Insurance ID card.

Bring your “Co-Pay” payment.

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Arrive 15 minutes prior to your appointment to complete registration documents.

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• Speed up the Process!

Download, print, and complete both the “Registration” and “Medical History” forms before your visit. Completing forms at home can significantly shorten the waiting time required to see your surgeon.

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Patient Medical History Form

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Breast Patient Medical History Form

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Patient Registration Form

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Weight Loss/Bariatric Medical History Form

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Telehealth and Electronic Communication Consent Form

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MEDICINE IN THE TIME OF COVID

We are doing our best to keep you safe during these difficult times.  Please see our policies regarding Covid 19 safety in the office.  Please fill these forms out and bring them to your office appointment, or we can provide them at the time of your visit.  Thank you!

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Covid 19 Office Protocol

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Covid 19 Medical History Form

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Covid 19 Consent Form