(If Applicable)
PLEASE NOTE FOR "HMO" INSURANCE PLANS.
We MUST be made the primary care physicians (PCP) on file with that insurance company.
We will be unable to see patients who do not make that assigmante
In order to make this change, simply call insurance company with the number found on the back of your insurance card and let them know that you will be changing your PCP.
Which medical conditions do you have now or have had in the past?(Please check all that apply.)