VISIT PREPARATION INFO
PLEASE PRINT ALL PAPERWORK AND BRING ALONG WITH YOU FOR YOUR VISIT.
**Please fill out ALL paperwork in CAPITAL LETTERS and bring along with you for your visit. **(even if you web checkin) ALL paperwork MUST BE COMPLETED prior to your visit with us.
When you visit the Doctors After Hours clinic, please be prepared to provide or present the following information/documents:
- Whether you have been a patient before
- Patient and policy holder name, social security number, date of birth, address and telephone number
- Picture ID
- Current insurance card
- Your co-payment or deductible amount, if applicable, is due at the time of service
- Your primary care physician’s name
- List of your current medications
This information is needed to expedite your registration and to assist us in understanding the urgency of your visit. Thank you for choosing Doctors After Hours for your healthcare needs.
To expedite your registration process, fill in the information (IN ALL CAPITAL LETTERS), you should PRINT the VISIT PREP FORM, and bring it with you when you visit Doctors After Hours.
*PLEASE NOTE: All patients under the age of 18 must be accompanied by an adult or legal guardian.
ONLINE CHECK-IN ACCESS
|MANHATTAN WESTBANK OFFICE