New Patients

Office Visit Preparation

When you visit FASTLane, please be prepared to provide the following information:

  • Patient and policy holder name, social security number, date of birth, address and telephone number
  • Whether you have been a patient before
  • Current insurance card
  • Your co-payment or deductible amount, if applicable, is due at the time of service
  • Your primary care physician’s name
  • List of your current medications and allergies

 

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Patient Forms

Several of our forms are available below for download. To expedite your visit you may download and print out these forms and have them filled out before visiting FASTLane!

file_pdfConsent For Treatment Form
file_pdfPatient Information Form