Your First Visit
The first time you visit our office you will be seen by one of our Practitioners. If you had any previous diagnostic testing
performed, you may be asked to bring a copy of your test results or x-ray films with you. A complete medical history
and thorough physical exam will be performed. The diagnosis will be discussed with you and treatment options will be
reviewed. If further testing is required, this will be ordered or scheduled for you. After your consult, if surgery is
indicated our surgical scheduler will meet with you to discuss possible surgical dates. If additional testing or consult
from another specialist is required, you may be asked to return for a follow-up appointment in order to determine the
best treatment for you.
We strive to educate our patients about their diagnosis and what treatments are available. In doing so, this will help
you make the best decisions for your health. We encourage your questions and will give you as much information as
you need so that you will know what is expected concerning your own situation.
Suggestion: If you are coming to our office for a vein screening or a venous doppler - wear shorts or a skirt.
Important Forms for your first visit
For your convenience and to speed up the process of your visit, we have provided a number of
forms for you to print and complete prior to your first visit. By filling out this information prior to your
appointment, you will be able to accurately provide all information required. It will also reduce your
check-in time so that we can begin services sooner.
Please print and fill out the following forms prior to your first appointment. We ask that you do not e-
mail or mail them to our office, so that we can maintain your privacy.
Please contact the office if you have any questions.
Complete History & Physical: On this form you should provide us with background information about
any past surgeries and medical conditions. We also ask that you list all of your current medications
and family history.
Authorization for Release of Health Service or Treatment Information: This form allows your
insurance company or payer of services to receive the information necessary to make payments.
Patient Information Form: We use this form to collect general information about our patients in order
to create a file for you on our computer system.
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the Confidentiality
Law. Under these laws the practice must obtain your written consent before it can disclose
information about you for payment purposes. For example, the practice must obtain your written
consent before it can disclose any Personal Health Information (PHI). In addition, you must also sign
a written consent before the practice can share information for any and all treatment purposes.
We are committed to providing you with the best possible care and we are pleased to discuss our
professional policies with you at any time. Your clear understanding of our Financial Policy is
important to our professional relationship. Please ask any questions about our fees, financial policy
or your financial responsibility.