PLEASE NOTE THIS FORM MAY NOT LET YOU SIGN IN MOBILE VERSION ON A CELL PHONE- YOU MAY NEED TO VIEW IN DESKTOP VERSION ON YOUR PHONE OR USE LAPTOP TABLET OR PC
For telemedicine (Zoom) appointments:
Thank you for scheduling your virtual Zoom appointment for a psychological evaluation for bariatric surgery.
We need your paperwork completed 3 days prior to your appointment or it will be canceled.
You must email a copy of your picture ID and copy of your insurance card front and back to info@horizonviewhealth.com
If you would like to be put on a cancel list, please indicate in your email and this can only happen if we receive your paperwork asap.
A zoom invite will be sent to you prior to your appointment please check 24 hours before that to make sure you have received the invite. (Please remember to look in your spam folder)
Patients are responsible to call their own insurance to check if they have behavioral health and telemed coverage for this visit. If you have a co-pay, please call after your appointment to pay over the phone.
If you are unable to keep your appointment, please call us within 24 hours of appointment to cancel. You can call 253-268-3345.
If you do not make your appointment, you will be charged a $75 No-show fee automatically on the credit card added on file when the appointment was booked.
For In office appointments:
Thank you for scheduling an in-office appointment for a psychological evaluation for your bariatric surgery.
You have the option of completing this paperwork online 3 days before
Or
Arriving 30 minutes early to complete paperwork in office. If your paperwork is not completed by your appointment time, you will be asked to reschedule.
You must bring with your picture ID, your insurance card and your copay, if you have one.
If you would like to be put on a cancel list, please indicate in your email and this can only happen if we receive your paperwork asap.
Patients are responsible to call their own insurance to check if they have behavioral health for this visit.
If you are unable to keep your appointment, please call us within 24 hours of appointment to cancel. You can call 253-268-3345.
If you do not make your appointment, you will be charged a $75 No-show fee automatically on the credit card added on file when the appointment was booked.
Sincerely,
The HorizonView Health Reception Staff
Address: 1408 3rd St SE Suite 200, Puyallup, WA 98372
Phone: 253-881-1490