During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

Download	Format
New Patient Form	Adobe Acrobat PDF
Notice of Privacy Practices	Adobe Acrobat PDF
Disabilities Act	Adobe Acrobat PDF

*You must have an Acrobat Reader to view the Acrobat files. If you don’t already have Adobe Acrobat, you can download the Acrobat Reader Free.

It is also the patient’s responsibility to bring their referral, if required, with them to our office.

We ask that all new patients arrive a minimum of 20 minutes prior to their scheduled appointment in order to complete the registration process. Patients who have already completed the registration forms (by accessing them through our web site or by picking them up at our office) need only arrive 10 minutes prior to their scheduled appointment time.

Also, please bring the following:

• Patient’s insurance card
• List of current prescriptions and/or over-the-counter medication, including dose and frequency
• Information about patient’s medical and surgical history
• Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office ✆ 409-899-1538. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.