Dear New Patient,
PLEASE BRING A VALID PHOTO ID AND YOUR HEALTH INSURANCE CARD, IF ANY.
WE NEED THIS INFORMATION TO CHECK YOUR HEALTH INSURANCE COVERAGE, IF THAT IS THE CASE.
We are sending you a medical questionnaire to complete at home. Please bring the completed packet to your appointment.
PLEASE BRING ALL YOUR CURRENT MEDICATIONS WITH YOU TO YOUR APPOINTMENT (including vitamins and supplements).
It is very important that we have pertinent records from your referring physician including laboratory reports,
EKGs, treadmill tests, Holter monitors, or echocardiogram copies. You may bring copies with you or request that
they be forwarded directly to this office. (See Authorization to Release Records form.)
We do insurance billing. We are happy to bill other group insurance plans provided the visit is paid at the time of service and current billing information is supplied. Please bring your physical insurance cards (no electronic-only cards). Deductibles and copayments are due at the time of service according to your plan.
Our schedule is heavily booked. Please arrive 15 minutes prior to your appointment with all forms completed.
Notify us right away if you are unable to keep this appointment.
If you have any questions, please call
(714) 821-8588
Sincerely,
Brenda
New Patient Coordinator