Patient Forms
Patient Forms
Before your appointment with us, quickly and conveniently access patient forms from our practice.
Download Patient Forms
View the forms listed below. Click and open in browser then print. Please bring your completed forms with you to our office at the time of your visit..
Office Policies
Appointments
Appointments can be made by calling our office during normal business hours.
After Hours & Emergency Care
If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.
Prescription Renewals
Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.
Financial
All office visits are payable at the time of service. We accept cash, checks, and Visa and Mastercard. Please contact our billing office should you have any financial questions or concerns.
Appointments can be made by calling our office during normal business hours.
After Hours & Emergency Care
If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.
Prescription Renewals
Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.
Financial
All office visits are payable at the time of service. We accept cash, checks, and Visa and Mastercard. Please contact our billing office should you have any financial questions or concerns.
Billing & Insurance
We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.
If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.
Please contact our billing office at 209-571-2455 or call your insurance carrier should you have questions.
If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.
Please contact our billing office at 209-571-2455 or call your insurance carrier should you have questions.