Your Visit


Appointments

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  • Full name
  • Address
  • Date of Birth
  • Home/Work phone numbers
  • Which body part needs evaluation?
  • Is your injury work related?
  • Referring physician name and phone number
  • Insurance information/name of your carrier
  • Old or new injury?
  • Have you seen a physician for this injury in the past?
  • Do you have any x-ray or MRI films?

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What to Bring to Your Appointment

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  • Current health insurance card
  • Referral from primary care physician (if applicable)
  • Any appropriate medical records, x-rays, scans or MRI’s
  • Worker’s Compensation or third party liability insurance company’s information including: insurance company name, address, claim number, adjustor’s name and phone number (if applicable)
  • If patient is a minor (18 years or younger), a parent or guardian must accompany the patient to their appointment, or the patient must have written consent from a parent or guardian in order to be seen by a physician.

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Cancellations

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