NEW PATIENT INSTRUCTIONS
We are accepting new patients 18 and up. Currently – we have a short waitlist. We will use the following form information to add you to the list. We will use this information to verify benefits, start a chart and put you on the list. This also allows Dr. Blythe to assess your needs prior to coming in.
Steps to Making a New Patient Appointment:
- Please complete the new patient form below. This is very important; all new patients must have this completed PRIOR to being considered for an appointment.
- If you are using insurance, we will confirm your insurance benefits PRIOR to our first meeting. This process typically takes two business days.
**This form does not replace the new patient paperwork. This is for insurance verification and chart creation only.
If we believe another practitioner might be better suited for your treatment needs, we will help you with a referral.
If this practice is not in your insurance network, you can self-pay and apply to your insurance for out of network benefits.
Please note that once you have self-paid for a visit, we do not retroactively submit the visit to insurance. Please alert us ahead of your visit if you ever need to change your method of payment.
Office fees for self-pay patients are $125 ($150 for the first visit). Payment is due at the time of service. There is a $65 fee for no-shows and less than 24-hour notice of cancellation.
No refunds are given after a service has been rendered per appointment policy.
We take cash, check, credit/debit cards, and HSA/FSA cards.