New Patient Info
Please bring the following items with you to appointments:
- Your insurance card or other health coverage information.
Some insurance companies require you to have a referral or
primary care authorization before treatment is given. Please
check with your carrier if you are in doubt.
- Walking shorts and athletic shoes (knee examination only)
- X-rays or MRI's not older than twelve or eighteen months
(if available)
- Clinic notes or operative reports from your referring physician
that relate to your condition.
Payment in full is expected at the time of your visit. Exceptions
include Worker's Compensation, Medicare and patients covered
by contracted Insurance Carriers. Deductibles, co insurances
and co pay will be collected according to your contract specifications.
For your convenience, we accept Visa, MasterCard, cash or check.
Please contact our billing office if you have any questions or
concerns.
MEDICAL RECORDS
Medical record request usually require 14 business days. Expedited
requests are available in the event you require your information
prior to the 14 day period. Please ask our receptionist for information
regarding our fee schedule. |
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Patient Forms
For your convenience the following patient forms are available
to download. Fill out by hand and bring to your next office visit.
Important Note:
The forms available
below are for printing purposes only. Do not complete the forms
on line and do not send this information to FSMI as these forms,
when completed, will not be protected from inadvertent breaches
and interceptions of data.
PDF Forms
require Free Acrobat Reader Download it now
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