New Patient Appointment Information

Making an Appointment
Welcome to Associated Family Physicians!  Thank you for joining us to assist you with your healthcare needs.  When making an appointment please have the following information available:

• Name and Date of Birth.  If for Child, we will need Child’s Name and Date of Birth
• Photo ID, or Driver's License.
• Guardian Name and date of birth if Parent
• Social security information of patient/parent and guardian
• Home address, city and zip code
• Preferred home or cell phone to contact patient
• Emergency Contact information
• Insurance Information
• Subscriber Information (We will need Subscriber’s Date of Birth, Social Security Information, and Employer's Information - The subscriber is the policyholder of the insurance)

Relay Health

Relay Health is a secure way for patients to connect with their doctors through the use of secure, email-like communication.

To learn more about this service, please click here. (This link will navigate you to www.relayhealth.com)

 
Useful Information

~ Please arrive 15 minutes prior to appointment to complete necessary paperwork, and bring with you the follow:

• Also have current insurance information
• List of medications or changes in medication
• List of know allergies to medications
• Previous surgeries or hospitalizations
• Previous immunizations or vaccinations

~ Minor children accompanied by someone other than a parent or guardian at their visit, must have a written note indicating that the accompanying person is authorized to seek treatment on your behalf. This will be required before the appointment can be conducted.  In addition, our office may call you to verify that the note is authentic.

~ Insurance coverage varies and you will be responsible for those charges that are not covered by your policy as well as the deductible and co-pays.

~ We ask that you provide us at least 2 hour notice if you need to cancel or reschedule an appointment.

~ Release of Medical Information:  If you are transferring from another clinic or practice, it will be necessary for you to sign a HIPAA-approved Medical Release of Records.  Please allow ample time for these requests prior to your scheduled appointment with our office.  You may obtain this release from your current provider or click here for our downloadable version.

 Please schedule your next follow-up appointment with the Scheduler before leaving the office.  We will be more than happy to provide you with an appointment reminder.