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What to bring on initial visits? forms to download

1. A current copy of your insurance cards.
2. A co-payment may be required according to your insurance plan. This will be due at the time of services. RMA accepts payments of cash, checks, and Debit cards, Visa, MasterCard and Discover.
3. A current copy of your medication list and/or all your medications bottles you are currently taking
4. Please arrive 15 minutes early for your appointment if you are already a patient.
5. Please arrive 30 minutes early for your appointment if you a new patient.

Forms for you new appointments (PDF to print)

New Patient Form Demographic and Insurance

New Patient Medical History Form

HIPAA – AUTHORIZATION TO RELEASE MEDICAL INFORMATION (RELEASE TO RMA)

HIPAA – AUTHORIZATION TO RELEASE MEDICAL INFORMATION (RELEASE BY RMA)