1) Be sure that you have your most recent insurance identification card and a valid driver's license or other form of picture ID. We will make a photocopy of both.
2) Please arrive promptly at (or before) your scheduled appointment time so that we may prepare your chart (we unlock the door at 8:30am). This assures that there is time for verifying your insurance and checking on any applicable deductible.
3) There will be some forms for you to complete regarding the reason for your visit, medical history, allergies, and medications that you are taking (or have recently taken). If you do not routinely carry a list of your medications, please prepare one or bring in your medication bottles so that you will be able to provide all necessary information. The FOUR pages of forms (downloads) that you will need to fill out for us prior to seeing the doctor are available in pdf format for printing by separately clicking on ALL of the download links below.
4) Payment for services is due upon arrival. If you are using health insurance, you will be responsible for your insurance copayment or deductible at the time of arrival. For your convenience, in addition to cash, we also accept American Express, MasterCard, VISA, and Discover Card.
Patient Registration
Copperfield Family Medicine
Copyright © 2024 Copperfield Family Medicine - All Rights Reserved.
Powered by GoDaddy
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.