Patient Registration Information
Please arrive 15 minutes early for patient registration. Unlike most physician practices, our office generally runs very close to the scheduled appointment times. Please note: if you arrive more than 15 minutes late, your appointment may be rescheduled.
All office and diagnostic testing appointments are confirmed by phone 48 hours prior to the appointment.
Failure to cancel a scheduled office appointment within 24 hours will result in a $35.00 fee charged to your account. See the Financial Responsibility Agreement below for more details, or click here to view.
If you have questions, or need to cancel or reschedule your appointment, please contact our office at (859) 278-0383 or toll free at (877) 451-0033.
Please bring to your appointment:
- Photo ID
- CURRENT Insurance card(s)
- Completed patient forms
- Your co-payment or co-insurance for a specialist (we accept cash, check or credit card)
- List of all of your medicines
If you are a first-time visitor to our practice, your registration process will run more smoothly if you print and complete these forms prior to your visit.
These forms are in Adobe pdf format. Click here to download Adobe for free:
- Patient Information
- Preferred Contact
- Medical History Checklist
- Medication List
- Financial Responsibility Agreement
- Notice of Privacy Practices