New Patients

Please make sure that you arrive to the physician’s clinic at least 15 minutes before your scheduled appointment time so that you can provide us the necessary paperwork and insurance information to put you into our computer system. To save time, you can also print the New Patient Forms located below and bring them filled out to your appointment. Please always bring anything that has to do with your health, this may be your medications, your blood pressure machine, and or a blood sugar machine. It is important to be sure your machine is calibrated correctly and get the dosage of your medications accurately in your chart.

New Patient Forms

PDF-Document-Logo-1 Chambers Medical Group New Patient Forms

Your treatment and records will always be handled confidentially. Only you may authorize us to release any medical information to parties not directly related to your care and treatment.

Payment Policies
In an effort to keep down our administrative cost, and therefore our fees, we ask that you pay for your medical care at the time of your visit. We will be glad to accept your personal check, MasterCard, or Visa.

If you are a member of a health maintenance organization (HMO) or preferred provider organization (PPO), let us know, if we are a participating provider, we will submit your medical charges for you.

You will be responsible for any co payments, deductible amounts, or other charges not covered by your insurance plan or Medicare.  It is always a good idea to check with your insurance plan for all services coverage before your visit so you know your plan and how much your visit will cost.

Please let us know if your address, phone number, marital status, or insurance changes.