We look forward to seeing you in our office. To get ready for your visit, you can fill out your new patient paperwork online. Or, you can download it, fill it out, and bring it with you to your first visit. You can also scroll down and read about what to expect during your visits with us.
New Patient Paperwork
Option 1: Do it Online
Click the button below to fill out the new patient paperwork online. We will automatically receive it.
Option 2: Fill it out & Bring it with you
Download the new patient paperwork, fill it out, and bring it with you on your first visit to our office.
Fill out this form to give us the permission to obtain your medical records from another provider.
Notice of Privacy Practices
Download a copy of our practice's Notice of Privacy Practices.
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. If you haven't provided the following information online, please assist us by bringing your the following information at the time of your consultation:
- Your insurance card(s) and photo identification
- A list of medications you are presently taking including the dosage (ex. 10 mg), and how often you take it (ex. 1 pill twice daily). Also, a list of the over-the-counter supplements (vitamins, minerals and herbs) you are taking including the name and dosage.
- A list of all medication allergies and the associated reactions
- A list of all past surgeries including the year it was performed
All patients under the age of 18 years
All patients under the age of 18 years must be accompanied by a parent or guardian at the consultation visit.
We strive to see all patients in a timely manner.
However, emergent surgical issues arise from time to time. Delays may occur and appointments may need to be rescheduled. We understand your time is valuable and we appreciate your patience and understanding.
All co-pays, deductibles and other payments are expected on the day of service unless prior arrangements have been made with the billing manager. Co-pays are determined based on the specialist rate as set by your insurance provider. For your convenience we accept VISA, MasterCard and Discover. Checks should be made payable to Dennis L. Fernandez, M.D., P.C.
Our doctors are not in the office every day due to their surgical schedules. Therefore, please be mindful of your prescription refill requirements. Approval of your refill may take up to three business days. Additionally, medication refills will only be addressed during regular office hours (Monday-Friday).
As a courtesy to our patients, we don’t charge a fee to complete FMLA notices, disability paperwork or absence forms; however, we do require five (5) business days to complete any forms requested of our staff members.