Patient Information

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REGISTRATION FORMS FOR NEW PATIENTS


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PACKETS INCLUDE

  • Patient Questionnaire

  • HIPAA

  • Appointment Cancellation/Return check fees

  • Patient Consent Forms

  • NJ Immunization Information System Consent to Participate 

  • Office Policies

  • Records Release

PARTICIPATING INSURANCES

 

  • We accept most insurances except Medicaid—please call your insurance company to confirm.

CANCELLATION POLICY

You understand and agree that if you do not show for your scheduled appointment or you cancel your appointment with less than 24 hours’ notice, we may charge you a fee for a missed/late cancelled appointment.

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Olde Towne Optimal Health

All information contained on this website is intended for informational and educational purposes only. The information is not intended nor suited to be a replacement or substitute for professional medical treatment or for professional medical advice relative to a specific medical question or condition. We urge you to always seek the advice of your physician or medical professional with respect to your medical condition or questions. As a recipient of information from this website, you are not establishing a doctor/patient relationship with any health care professional at Olde Towne Optimal Health. There is no replacement for personal medical treatment and advice from your personal physician.