DOYLESTOWN THYROID & ENDOCRINE ASSOCIATES, LLC
103 Progress Drive, Suite 300
Doylestown, PA 18901
(215) 447-3630
Dear Patient,
Welcome to our practice!
Please bring with you the following items:
- A VALID REFERRAL: Please remember to contact your primary care physician and request a referral if required by your insurance. You will NOT be seen without it. We will assist you in rescheduling your appointment if you have no referral.
- COMPLETED demographics and new patient forms. If you are a new patient of the practice or have not been seen in over 3 years, it is necessary to complete these forms. Your doctor will need to enter your history into our new electronic health record.
- PROOF OF IDENTITY must be presented at each visit. Acceptable forms of ID include ONE of the following: driver’s license or other photo ID.
- CURRENT HEALTH INSURANCE CARD
- MEDICAL RECORDS: If you are a completely NEW PATIENT and seeing us for the first time, please bring in hand your pertinent medical records including doctor’s notes and labs/ radiology/ pathology.
- BLOOD SUGAR LOGBOOK – for diabetic patients, it is imperative that you bring a list of your recent blood sugars.
- CURRENT LIST OF MEDICATIONS
Please arrive 15 minutes before your scheduled appointment to complete the check-in process. We require 24 hours’ notice for cancellation. There is a $50 charge for failure to show for a new patient appointment and a $50 charge for failure to show for a follow-up visit.
**Payment is required at the time of service. This includes co-payments and self-pay fees.**
Thank you!
Doylestown Thyroid & Endocrine Associates