What to bring to your first appointment 

Please arrive 15 minutes early to complete any necessary paperwork before the appointment begins.

The following information may be helpful as you prepare for your appointment:

• Photo ID
  
  
• Insurance card
  
  
• Medication bottles or a list of medications with dosage and frequency
  
  
• Primary Care Provider’s referral or authorization, if it is required by your insurance
  
  
• Appropriate legal documents, like Advance Directives or Power of Attorney for Healthcare if you have them
  
  
• Primary Care physician’s name and address
  
  
• Method of payment for co-pay, which is due at the time of service.

 

First Appointment Patient Forms

Please print and complete the forms below.  Then, bring them to your first appointment.

• NANI Registration Form
• HIPAA Privacy Policy and Consent
• Authorization to Disclose PHI
• Authorization for Release of PHI
• Consent to Care and Treat
• NANI Financial Policy