If you are a new patient to our office, at your first appointment we will ask you to fill out a Patient Information Form. These forms ask for personal information such as your address, employer, emergency contacts, allergies, and guardian information in the case of minor patients. The Patient Information Form also contains a detailed explanation of our financial policy, which asks for insurance information as well as insurance cardholder information. Please read the insurance section that pertains to your coverage. We will also need a copy of your ID, as well as insurance cards. In the case of a Power of Attorney, we will need a copy of the proper documentation.
At the end of our patient information packet, you are asked for a signature acknowledging that you have been offered a copy of the Denali Orthopedic Surgery, P.C. Notice of Privacy Practices (a.k.a. HIPAA) Packet. If you would like a copy of the HIPAA packet, you may request one at our office or download a copy from the link to the right.