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New Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Mark Wooddy and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your needs.

 

Patient Registration.pdf - Provides Dr. Wooddy with general information about yourself and your medical history.

Financial Policy.pdf - This form explains the office's policy regarding payment expectations and insurance reimbursement.

Insurance Authorization.pdf - This form allows the office to file all future insurance claims without the patient having to sign each from individually every time a procedure is performed and billed to the insurance company. This is called a "Signature on File" form.

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