New Patients - Save time!

 

 Prior to your scheduled New Patient appointment, please download the following forms and complete  them ahead of time. 

 

 What you should bring to your appointment:

 

 1. Patient History Form

 

 2. HIPPA Release Form

 

 3. Notice of Privacy Practices (revised evey year)

 

 4. A list of your current medications

 

 5. Picture I.D and your insurance card (bring the original insurance card)

 

 6. Be prepared to pay your copay. 

 

 Medical Records Release:

 

 You can download our Medical Release form below here to have your medical records forwarded to your new Primary Care Physician. You may also sign a records release form from your current Primary Care  Physician and they will forward the information to our office. 

 

Current Patients:

 Do you have a change or address? phone number? or change of insurance?

 Please call the office to update the information in your chart. We do not have access to your other  physician's office's, so if the information is updated with any of them - it won't reach us.

 

© 2014 by Internal Medicine Associates of San Mateo