Forms & Visit
Your Visit with Us
We look forward to seeing you at each visit. Please read the instructions if you have any questions regarding your visit.
Cash, checks and HSA cards are our preferred payment methods for office copays. We will be happy to charge cosmetic products and cosmetic procedures to your credit cards (no American Express, Carecredit or Discover). We appreciate your efforts!
We will call to remind you about your appointment 2 days prior. Please give us at least 24 hour advanced notice should you need to change or cancel your appointment.
If you are a 1st time patient with us for a medical visit. Please bring your insurance card(s) and a government issued ID (driver’s license, military ID, passport, etc).
If you have any pertinent medical document, please bring them with you to the visit.
New patient forms will be available in our office. However, you may fill out your forms at home and bring it to the visit. Please use only black ink.
If you have never seen us before for medical or cosmetics, we ask your fill out all the new patient forms at home or in our office.
There will be A $50 consultation fee for the first visit which WILL go towards your procedure should you decide to proceed on the same day.
If the patient is under 18 years of age, a parent or legal guardian must accompany the patient to their appointment. If a parent/legal guardian is not able to accompany the patient, the parent/legal guardian must complete all paperwork ahead of time including the authorization for non-parent/legal guardian to accompany patient form authorizing another adult to bring their child to the appointment. In addition, the accompanying adult must be authorized on the HIPAA Form.
Please be aware, all Form Completions (notes for employers, insurance companies, rewritten prescriptions, etc.) are subject to a $25 minimum fee.