PSC Appointment Checklist

• Completed patient forms

• Valid form of identification

• List of all your medications

• Insurance card

• Insurance Referral (if required)

• Payment (cash, check, Visa, Mastercard, Discover or American Express)

• Phone and fax numbers for your referring doctors and primary care physician

• MRI or x-ray films and all other records related to your injury or condition

Appointment Preparation Information

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• Please arrive 30 minutes prior to your appointment. Failure to bring your MRI and/or x-ray films and any records related to your spine/orthopedic injury or condition may require rescheduling your appointment.​

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• Please remember to list all your prescription and nonprescription medications (including herbal or alternative), plus the dosage.

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• If your insurance requires a referral from your primary care physician, we must receive this before your scheduled appointment.

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• Co-pays, and/or all other amounts not covered by your insurance must be paid at the time of your appointment; deductibles are collected prior to surgery (if surgery is needed). If you are a “Self-Pay” patient, please be prepared to make full payment or your appointment will be re-scheduled. We accept cash, check, Visa, MasterCard, Discover and American Express.

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• All FMLA/Employer and Disability Insurance forms are subject to a $35 processing fee and must be paid before receipt. Please leave forms at the front desk and allow seven to 10 business days for completion.

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• If you need to cancel your appointment, please do so within 24 hours of your appointment. No-shows will be charged a fee of $25.

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• In order to respect the time of each and every one of our patients, your appointment will be rescheduled if you are over 15 minutes late for your appointment.