Please complete all your forms before your appointment by mail, fax, or in person. For you convenience, the New Patient Packet is available under Forms as downloadable PDF documents.
Your completeness helps improve the care that we provide.
If you are able to return your forms this would be helpful in expediting the registration process on the day of your first appointment. Thank you.
As of note, the Review of Systems questionnaire (ROS) is a form with several conditions listed. To complete this form you must mark whether you CURRENTLY have any of these conditions by filling/bubbling in the appropriate yes or no. Please do not use an “X” or check mark to answer the survey, as the computer will be unable to process the form.
Also, please remember to bring your insurance card and any co-payment due, to your appointment.
If for any reason you have to cancel your appointment, please give us at least 24 hours notice. If for any reason we do not receive a 24 hour notice there will be a fee of $40. This will be the responsibility of the patient and will not be covered under your insurance.
Thank you and we look forward to seeing you.
Karen Leung. MD