         |
      |
  
| Forms
Needed |
Please arrive fifteen minutes before your scheduled appointment to allow
yourself time to complete the necessary paperwork.
Please bring the following to your appointment:
1) Requisition - this is the order your physician wrote requesting this exam for you
2) Insurance Cards - you will need current insurance cards for whomever is paying the bill (self, spouse, or parent)
3) Contact Information - please bring the name and telephone number of a friend or relative who does not live with
you
4) Payment - your deductible payment is required at the time services are rendered. We accept personal check, cash,
money order, Visa or MasterCard.
View the Requisition Form |
|
  |
|