patient information
APPOINTMENT CHECKLIST
Please remember to bring the following items with you to each of your appointments.
Insurance card(s)

Referral form (for HMO patients) if form is not being faxed directly to us from your
   primary care physician

List of all current medications and allergies

X-rays, MRIs, or other diagnostic studies, including nerve conduction tests which
   have been performed elsewhere

Any relevant medical records or test results

Any paperwork or questionnaires mailed to you in advance

Shorts for lower-extremity exams

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