New Patients

We are thrilled to take care of you! The info below will help make your first appointment smoother:

Bring:

-Insurance card

-Photo ID

-Referral or Copay

-A typed list of your medications if possible

-Any testing, scans, films or CD’s relating to your visit. 

-Filled out copies of the forms (scroll down)

-Filled out copies of disease specific forms (scroll down)


**If we don’t have this information, it can make it hard for us to safely treat you and we may need to see you again when you have that information.

Arrive:

30 minutes early!


On your first visit, we need to gather some info to treat you safely- coming early helps us ensure your visit is on time!


When you are sick waiting is the worst, so we strive to make sure patients are seen in a timely manner! 


When patients are late or no show without calling, it means other patients have to wait. For patients who fail to show up for their appointment there is a $25 charge. If you know you will be delayed or unable to keep your appointment please call us and we will work with you!

Insurance:

We proudly work with the insurers listed below. If you do not see your plan below, or are unsure of your coverage, feel free to call us or contact your insurance carrier. 

New Patient Forms

We hate forms too! But the information we collect helps us take the best care of you. 


Please download, print, and fill out these forms prior to your first visit. If you are bringing your child, please fill out the child form. Thank you!

Chesapeake Oto Adult New Patient Forms (pdf)

Download

Chesapeake Oto New Child Patient Forms (pdf)

Download