© 2016 by A2OMM created with Wix.com.  Lynn Beals-Becker, DO, PLC

 

New Patients:

Please download and print the first document if you didn't arrange for it to be mailed to you.

Please fill it out before your appointment.  You may bring it to your appointment, mail, fax or drop off ahead of time during office hours.

 

Please arrive to your appointment 15 minutes early to process and review your paperwork.

We will take photocopies of your insurance cards and a picture ID (simply for the photo, not the ID numbers)

Please be sure you have them with you.
 

Patient History Form  (Print and send in or bring to appointment)

*Please also bring copies any recent lab reports or radiology reports.

Welcome Instructions  (for your information)

Office Procedures & Policies ( for your information)

Directions to the Office  (for your information)

See also "Contact Us" tab for photos and a google map.

Personal and Insurance Information Form  (for review only, please be sure to bring all information needed at your appointment)

Consent for Treatment & Financial Consent  (for review only - you will sign a copy at your appointment)

Notices of Privacy Practices  (for review only - you will sign an acknowledgement at your appointment)