New Patient Welcome Letter Chiropractic
fermiwords

New Patient Welcome Letter Chiropractic

14606211
NEW PATIENT ORIENTATION LETTER

Hello and welcome to Barron Chiropractic & Wellness Center!

We understand that you have many choices when it comes to your chiropractic healthcare.

We want to thank you for choosing our office!

It is our goal to make you feel 100% comfortable and satisfied.

If this is your first time seeing a doctor of chiropractic, or you have not been adjusted/treated in a long time, you may have a lot of questions.

Let's first take care of our basic office information.

Office Hours:

Monday-Friday: 8:30 am – 12:30 pm;

3:30 - 7:00 pm
*CLOSED FOR LUNCH 12:30 – 3:30 PM Parking:

Available to the right of the building, with extra spaces behind the : Nancy Kirkland

Doctor.
New patient welcome letter 01 08
SIEGEL CHIROPRACTIC, L.L.C.

Bennett E.Siegel, B.S., D.C.

28 East Main Street Avon, CT 06001 (860) 674-1992

Dear
Welcome to Siegel Chiropractic, L.L.C.!

Allow me to sincerely thank you for selecting me as your personal family Chiropractor.

I'm sure you'll find chiropractic to be a terrific and beneficial approach to better health and energy, as millions have around the world.

All of us are committed to providing you with the best possible care.

If at any time you have any questions, or if you should require our assistance in any way, please do not hesitate to call our office.

We will Now that you have scheduled your first appointments with us, we would like to address the most frequently asked questions our new patients have:

What are the fees?

What about your insurance coverage?

Where is the office located? Your first appointment, your New Patient Exam, is scheduled for
,
at
am/pm.

The appointment is approximately forty-five minutes long.

It includes a thorough health history and Chiropractic exam.

The fee of $200.00 covers the history/consultation part of the exam.The fee for any needed supplements will be determined at that exam.Services are due and payable by you at this visit.

If you have any recent x-rays, scans or lab tests, it is oftehelpful to bring them with you.

Your Report of Findings is scheduled for
,
, at
am/pm.

This is a thirty minute appointment.

I will review with you the results of your New Patient Exam and discuss the type of care and schedule I feel will be most helpful for you.

You will be treated after our discussion.

The report is included in the cost of your initial exam, but there is a fee for your adjustment, supplements, etc.

We do not participate with any insurance, but if you have out of network coverage, you may be reimbursed for your visits.We are pleased to provide you with the necessary documentation to submit to your insurance provider.

If for any reason you cannot keep your appointments we require 24 hours notice for cancellation or you will be charged a $50.00 missed appointment fee.We have enclosed a form for you to complete and bring with you for your New Patient Exam.

Directions to our office We look forward to thanking the person who referred you to our office.

We hope someday to be thanking you too.We feel that each new patient we accept, from infants to Senior Citizens, deserves the best health care that Chiropractic.

New patient packet
3100 Duraleigh Rd Raleigh, NC 27612 919-876-4327Welcome to our practice! Carolina Ear and Hearing Clinic is dedicated to providing our patients with the best otologic care available.Thank you for choosing us for your medical needs.Enclosed please find New Patient Information and release forms you will need to complete prior to your visit, along with some additional information about our practice.

Please carefully read and fill out these forms, and present them to the receptionist, along with your insurance card when you arrive for your appointment.For your first visit, kindly arrive15 minutes early to allow time for your information to be processed.

Please allow at least 2 hours for your visit.Physician referrals are required for office visits- regardless of your insurance carrier -since we are a specialty practice.Other items you will need for your appointment are:

The insurance authorization number from your Primary Care Physician-if you are a member of an HMO or POS plan.(You will need to obtain this prior to your appointment time)

If you have a co-payment, or have not yet met your deductible, please be prepared to pay this at the time of service
new patient welcome letter chiropractic
.

If your referring physician has performed x-rays and/or other tests or studies, please bring the films and test results with you.

Any medical records pertinent to why you are being seen by our physicians

should be requested from your current physicians prior to your appointment.This information may be faxed to (919) 876-6800.

A list of your current medications and drug allergies Appointment Policy: Please be aware that we are a multi-service practice.We have multiple providers performing audiological exams and testing under the doctor’s supervision.These services do not interfere with the doctor’s regular schedule or with the time reserved for you.In most cases, the doctors are able to see you at the time of your scheduled appointment.

However, unexpected prolonged patient procedures may delay the daily schedule.We appreciate your understanding in these situations.We do all we can to keep prompt appointment schedules and provide you with the best medical care.

The receptionists will inform you if a long delay occurs.

You may reschedule if waiting is a problem.Emergency surgical procedures may make it necessary to cancel appointed office hours.

We acknowledge how inconvenient this may be for you and will do our best to make your rescheduled appointment meet your needs.We regret having cancellations ever, and do our best to minimize them.We understand that from time to time a scheduled appointment may need to be changed.

Due to the nature of our specialized practice we ask that you please allow our office at least a 24 hour notice for cancellations or rescheduled appointments.

Failure to do so will result in a fee of $50.00.

Thank you for choosing Carolina Ear and Hearing Clinic.Please feel free to contact us at anytime with your questions or concerns.Sincerely, Directions to Carolina Ear and Hearing ClinicFrom Greensboro, Charlotte, Chapel Hill Take I-40 East Take first exit off of Wade Ave.which is Edwards Mill Rd.Turn Left onto Edwards Mill Rd.and follow it until you get to the stop light at Duraleigh Rd.You will see Raleigh Medical Center diagonally across from you – go through this light and take the first right into the entrance of our parking area.From Apex Take US 1/64 to 440/Inner Beltline (US 1/64 will run into 440/Inner Beltline) Take Exit 5 –Lake Boone Trail Turn right onto Lake Bone Trail At the stop light past Rex hospital, turn right onto Blue Ridge Rd.

(you will be going along side Rex)

Go straight through the second stop light (at this light, Blue Ridge Rd turns into Duraleigh Rd.) We are the next brick and glass building on your right – the parking lot entrance has a small blue sign that says “3100 Duraleigh” on it.

Take I-40 West to exit 301 (outer beltline) Take Exit 5 – Lake Boone Trail Turn right onto Lake Bone Trail At the stop light past Rex hospital, turn right onto Blue Ridge Rd.(you will be going along side Rex)

Go straight through the second stop light (at this light, Blue Ridge Rd turns into Duraleigh Rd.) We are the next brick and glass building on your right – the parking lot entrance has a small blue sign that says “3100 Duraleigh” on it.

From Fayetteville Take I-95 North to I-40 West Take I-40 West to exit 301 (outer beltline) Take Exit 5 – Lake Boone Trail Turn right onto Lake Bone Trail At the stop light past Rex Hspital, turn right onto Blue Ridge Rd.(you will be going along side Rex)

Go straight through the second stop light (at this light, Blue Ridge Rd turns into Duraleigh Rd.) We are the next brick and glass building on your right – the parking lot entrance has a small blue sign that says “3100 Duraleigh” on it.

Medical Questionnaire

Patient Duraleigh Road Suite 300 Raleigh, NC 27612 retired, previous for today’s visit: 2.

Please list your other physicians and their specialties: would you rate your general you had any of the following?

(Please circle): Headache

Ulcers/Stomach Problems

Sinus/Nasal Disease Stroke

Gallbladder Disease

Hoarseness/Voice Problems Irregularity

Difficulty Swallowing Other Nervous System Disease Hepatitis/Liver Disease

Facial Pain Psychiatric Disorder

Kidney/Urinary Disease

Asthma/Lung Disease Glaucoma/Eye Disease

Prostate Problems

Allergies/Hay Fever Heart Disease

Thyroid Disease

Radiation Therapy High Blood Problems Fainting Disease (Lupus, etc.) Peripheral Vascular Loss Anemia/Easy Bleeding Muscle/Skeletal Problems

Other: a child, did you have any of the following?

(Please circle): Measles
Ear Infections
© 2012 labroda
Downloadic - infolari - Contact · Privacy Policy