MAKE SURE YOU KNOW THESE BEFORE YOU MAKE THE CALL

Insurance / Medicaid cardPlease bring your insurance or Medicaid card with you, so your bill can be processed.

Insurance / Medicaid card

Please bring your insurance or Medicaid card with you, so your bill can be processed.

Social Security Number

Social Security Number

Date of Birth

Date of Birth

Address and Contact InfoProvide a valid phone number so that the office can reach you.

Address and Contact Info

Provide a valid phone number so that the office can reach you.

Contact from Previous ProviderKnow the contact info of any past doctors you have had. This includes the CHECK Center.

Contact from Previous Provider

Know the contact info of any past doctors you have had. This includes the CHECK Center.

Calendar and ScheduleWrite down the time and date of your appointment on your calendar or schedule.

Calendar and Schedule

Write down the time and date of your appointment on your calendar or schedule.