New Patient Paperwork - Dr. Gerry
Please find below all the paperwork you will need as a new patient in Dr. Gerry's office. All files are in .pdf format and require Adobe Reader to view and print (free to download).
New Patient Info Sheet 2014.pdf
New Patient Health History 2014.pdf
New Patient Missed Appt Policy 2014.pdf
New Patient PHR Form 2014.pdf
New Patient HIPPA 2014.pdf
For all new patients, please note we ask that you arrive 15 minutes prior to your scheduled appointment to allow processing of new patient paperwork. Please bring a copy of your insurance card, and remember your copay is due at the time of service.
Back to top
© 2004 Center for Integrated Health Care. All Rights Reserved.