IF YOU HAVE A COPAY OR PREVIOUS BALANCE DUE
PLEASE PAY PRIOR TO YOUR APPOINTMENT BY ONE OF THE FOLLOWING:
1) Clicking on the "I'd like to pay my bill." link on our website.
2) Go Directly to 'Pay Bill' Link Here:
PLEASE UPDATE & REVIEW INFORMATION BELOW
COMPLETE MEDICATION LIST - to include all presciptions from other doctors offices and over the counter medications or supplements
CONTACT INFO AND RELEASE OF INFORMATION
AFTER COMPLETEING THIS ONLINE CHECK IN FORM, YOU WILL STILL NEED TO LOGIN TO THE VIRTUAL WAITING ROOM ON DOXY.ME AT YOUR APPOINTMENT TIME, THANK YOU