For your convenience
and in order to make your office visit as efficient as possible,
please fill out the pre-registration form and
submit electronically at least two days prior to your visit so that
the information can be entered into our medical records system. If
you are uncomfortable sending the information through the internet,
once you see the form, you can go to File, select Print to print
the forms. Please mail, or FAX completed forms so that we receive
them at least two days prior to your visit.
Please wear or bring
a pair of shorts or halter top (depending on your site of injury).
You will need to bring your insurance card, and please be advised
that co-payments are expected at time of service. Thank you.
For any questions
or guidance completing the necessary forms, please contact us at
607-252-3850.
We look forward to
the opportunity of providing sports medicine care to you.
Forms:
Internet privacy
disclaimer: Although we have taken extensive security precautions,
we cannot guarantee absolute privacy of the information submitted through
this form. You must understand that there is a risk that in some circumstances,
it may be possible for others to see the information submitted through
this form while its transmitted to our computer.
