Getting Ready for Your VisitThe better prepared you are, the better prepared we can be to take care of you!
What to bring to your appointment:Please bring your insurance card and a photo ID. If you have any previous medical records please bring them with you. Dr. Schwartz will need a list of all your medications, the dose and the times you take them. You can print the form below.
Registration:Please arrive at least 15 minutes before your appointment time to complete your registration, OR you may print the forms from this page (below) and bring them with you already completed.
Payment:Be prepared to pay your deductibles, co-pays, co-insurance and any other amounts due at the time of your visit. Please remember that your appointment time is valuable, not only to you, but to Dr. Schwartz and the other patients being seen. Our front office staff will call you the day before your appointment to confirm. If you are unable to make your appointment please give us at least 24 hours notice so that someone else who needs care can be scheduled during that time. No-shows will be charged a fee.
Dr. Schwartz will give you the time you need to discuss your concerns during your appointment. If you have to wait, we ask that you understand she is just giving that same compassion, consideration and care to another patient.
FormsEtiam purus magna, semper id mattis at, iaculis non dui. Aliquam lobortis laoreet ipsum pulvinar ornare. Integer in neque sed dolor facilisis malesuada accumsan vitae lectus. Nunc in nisi ut lorem aliquam accumsan. Mauris eu odio vel justo porttitor viverra. Pellentesque vel purus nunc, quis pharetra ligula. Etiam in nisl enim, id rutrum metus. Fusce pulvinar sodales scelerisque. Nunc sagittis velit non eros vestibulum rutrum vel a purus.
- Nulla eros felis, faucibus nec luctus quis, consectetur eget dolor.
- Donec congue diam et volutpat fringilla. Curabitur pellentesque.
- Turpis at malesuada auctor, neque lacus pharetra lorem.
- Eget mattis sapien tellus ac lacus. Suspendisse porta tortor eu enim.
- Nulla tellus tellus, semper consectetur mauris ac, ultricies aliquet arcu.
- HIPPA Consent
- Medication List
- Office Policies
- Patient Authorization for E-Communication
- Patient Information
- Patient Medical History
- Pharmacy Information
- Dizziness Questionare
- Headache Questionare
- Hearing Questionare
- Reflux Questionare
- Shortness of Breath Questionare
- Sinus Questionare
- Tinnitus Questionare
- Voice Questionare
If you have any questions about these materials or documents, please contact us or call 702-647-2900