Every year we require our patients to update the patient information forms. This helps our office keep your records current as well as submit claims to the correct insurance.
Please view, download, and fill-out these forms completely at your earliest convenience prior to your scheduled appointment.
Although your information may not have changed at all, we still need a new completed form on file each calendar year.
- Health History Form
- Family Communication Form
- Financial Policy Form
- Notice of Privacy Practices
- Records Release Form
We do require our patients to arrive 15 minutes prior to their scheduled appointment time. This allows us time to prepare your chart and collect any applicable co-pays.
If you are more than 10 minutes late for your scheduled appointment, it is likely that your appointment will be rescheduled.
If it is necessary for you to cancel your appointment, please notify us 24 hours in advance. Minors (under 18 years of age) are required to bring a parent or legal guardian to all appointments.
Keep in mind that new insurance cards are distributed at the beginning of the calendar year. Giving us the most current information and insurance card will help us file your claim correctly and avoid having to ask for additional information later.
The staff at CSNA always appreciates the understanding of our patients.