PATIENT REGISTRATION FORMS

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220 Abraham Flexner Way
Suite 300
Louisville, KY 40202
(502) 584-3376
FAX (502) 584-3480

3104 Blackiston Boulevard
New Albany IN 47150
(812) 941-6156
FAX (812) 941-6279

4002 Kresge Way
Suite 122
Louisville, KY 40207
(502) 584-3376
FAX (502) 584-3480

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New patients, or previous patients visiting us for a new medical problem, can download and print the required registration forms.

Please complete these forms and bring them with you the day of your appointment - do not mail them. You also must bring your health insurance cards on the day of your appointment. Please arrive 30 minutes prior to the time of your scheduled appointment.

Remember to bring any previous medical records and/or x-rays regarding your condition. If you come to the office without these films, it may be necessary to reschedule your appointment. If you have trouble obtaining these films, please contact our office as soon as possible.

We look forward to seeing you at your appointment.

 

Download Office Registration Forms


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