Hi Robert, For today's appointment, please fill out the attached paperwork. You should also bring your photo ID and insurance card. For the patient demographics page, we only need you to fill out the first two sections. We will complete the insurance information in the office. If you have any questions, please give us a call. We'll see you at 4 pm. Regards, Cara Vortex Physical Therapy & Balance http://www.vortexpt.com/~cara 408-540-7622 office -----Original Message----- From: robert b [http://www.snkmail.com/~kgthqybggm] Sent: Friday, January 06, 2012 8:26 AM To: http://www.vortexpt.com/~info Subject: Robert's 1/13/2012 appointment Please send me the forms that need filling out. Thanks.
Attachment:
3 Patient Financial Policy_Patient Consent 12.01.11.pdf
Description: Adobe PDF document
Attachment:
1 Patient Demographics 12.01.11.pdf
Description: Adobe PDF document
Attachment:
2 Medical History 12.01.11.pdf
Description: Adobe PDF document
Attachment:
4 Notice of Privacy_Patient Signature 11.03.11.pdf
Description: Adobe PDF document
Attachment:
6 Dizziness Handicap Inventory DHI.pdf
Description: Adobe PDF document