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New Patient Registration Forms

Below are all of the necessary documents for new patient registration.

Please print these forms, fill them out, and bring them to your first office visit.

Co-payments or any co-insurance payments are expected before services are rendered.

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INFORMATION FOR OUR PATIENTS ABOUT COVID-19 (Coronavirus)

We understand you may have questions about COVID-19 vaccine availability and getting vaccinated. At this time, we do not have the ability to administer the vaccine. Please follow up with your primary healthcare provider regarding CDC recommendations for vaccination and availability.

FREQUENTLY ASKED QUESTIONS
ABOUT THE COVID-19 VACCINE

Despite the many challenges of this COVID-19 pandemic, we remain open and fully dedicated to safely and responsibly serving our cancer and hematology patients with exceptional care.

The safety and well-being of our patients, physicians, nurses and other team members is our top priority.

  • We continue to request and encourage individuals to come to the clinic alone, except for caregivers who assist patients with transport, translation or other personal needs. If questions, please call our clinic regarding the current Visitor Policy prior to your scheduled appointment.
  • Everyone entering our clinic locations is asked to wear a protective face mask or face covering. Our staff members are wearing masks as well.
  • Upon arrival, we will take your temperature and ask a series of questions to identify anyone who may have been exposed to COVID-19 or who has signs and symptoms of respiratory illness.

As always, we thank you for entrusting your care to us.