Patient Information
Office policies
What to Bring To Your First Appointment
- Valid Driver's License or form of ID
- Insurance Card
- Worker's Compensation information, (adjuster name and phone number and claim number)
- Referral Forms (if applicable)
- Previous Health Records
- List of current medications
- A pair of shorts if your problems pertain to the knee, leg, ankle, or foot
- Any x-rays, MRIs, test results, medical notes or previous operative report to your current problem
Cancellation Policy
- If you are unable to keep an appointment we ask that you kindly provide us with at least 48 hours notice. This courtesy will allow us to give your appointment to another patient.
Financial Policy
- Co-payments are due at the time of your visit
- We will bill all primary and secondary insurances for you if you provide the current and correct information
- We have a financial responsibility policy which states that claims must be filed in a timely manner. If the insurance information that you provide is incorrect and the claim is denied because of timely filing, then you are financially responsible for the entire bill. Ultimately, the financial responsibility for services rests with the patient and his/her family.
- We accept Visa, MasterCard, American Express, cash and personal checks as forms of payment.
Patient Forms
In order to make your visit less time consuming, we ask that you download, print, and fill out the appropriate form. Please bring the form with you when you come in for your appointment.
If you had not had an X-ray for your injury or complaint, please download, print, and fill out the following form from Advanced Imaging so we may send you for an X-ray.
Advanced Imaging New Patient Information
You will need Adobe® Acrobat Reader to view and fill out these forms. After Adobe® Acrobat Reader is installed on your computer, download the form by clicking the link above. Once the form is downloaded, you should print it, fill it out and bring it with you.
