Prepare for your visit

ID and Insurance

When you arrive for your visit, we will ask to see a photo ID and your insurance card.  We cannot see you without these items, and a cancellation fee may be charged.

Forms

Printing out and completing the forms below will save time when you arrive. Forms are in Adobe PDF format; if you need to download the free Adobe Reader, click the link at the bottom of this page.  Please use blue or black ink, and do not staple forms together.

For new patients

You can download all forms as a single packet or download specific forms by name.

➨ Download the New Patient forms packet
(Note: Headache patients seeing Dr. Mendes should also download the Headache Questionnaire at the bottom of this page.)

 
Download a specific form

Checklist for New Patients

Patient Information Form

Policies for Telephone Calls and Late Cancellations/No-Shows

Notice of Privacy Practices

Initial Visit Questionnaire

Review of Systems

 
For returning patients

Checklist for Established Patients

 
Other Forms

Headache Questionnaire (Dr. Mendes only)

 

Download free Adobe Reader