Become a New Patient
We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient:
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When you come to our office for the first time as a new patient, we'll ask you to complete some initial forms, if you were not able to download them from the patient portal in advance of your appointment. To make sure there are no delays in care during your first visit experience, please arrive 15 minutes prior to your scheduled appointment to ensure your registration is complete before meeting with your new provider.
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Remember to bring:
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Your insurance card
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Valid photo ID
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List of current medications
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Office co-pay
To respect the time of all patients, our staff strives to stay on schedule so that other patients do not have to wait.
For patients who are delayed and arrive late for an appointment, every effort will be made to see them the same day. However, wait times may apply, or appointments may need to be rescheduled.
Patient Forms
If you choose not to pre-register on the Patient Portal, please fill Patient Registration Form (PDF).
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Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
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Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required.
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
HIPAA Privacy Notice (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information.
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Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
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SMS & Data Privacy Policy (PDF) - Please note that no information collected will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. By providing your phone number, you agree to receive text messages from ACME. Message and data rates may apply. Message frequency varies. Reply HELP for help and STOP to cancel.