INFORMATION TO BRING

Please bring the following with you for your first visit to the office.

  • Photo ID
  • Insurance card
  • Any pertinent medical records
  • Any pertinent medical imaging (CD or films)

 

FORMS TO DOWNLOAD

You will need to complete the following forms for your first visit. You may complete them at the office, or you may bring completed forms with you. For your convenience a link to the forms can be found below. 

  • Medical history form
  • Notice of privacy practices
  • HIPAA authorization for release of patient health information

 

DEMOGRAPHICS FORM

MEDICAL HISTORY

NOTICE OF PRIVACY PRACTICES

HIPAA RELEASE FORM


 

EDUCATIONAL DOCUMENTS

PARATHROIDECTOMY EDUCATION

THYROIDECTOMY EDUCATION

ROBOTIC INGUINAL HERNIA EDUCATION

PORT PLACEMENT EDUCATION

LINX POSTOP INSTRUCTIONS