Dr. Elena Pappas

Patient Forms


Welcome New Patients!

New patients are welcome and we will make every attempt to get you scheduled in a timely manner.

To help expedite your visit please print and complete the new patient forms.

We accept cash, all major credit cards and debit cards. Your copay is due at the time of your visit. We do not accept personal checks for copays.

If you are on medications, please bring all of your prescription medication bottles to your new patient visit, so the Doctor can review them.

If your health insurance requires you to designate a primary care physician, please do not forget to call your health insurance company and do so.

New patients should plan to arrive approximately 15 minutes prior to their scheduled appointment in order to complete the registration process.

No Show/Late Cancellation

Your appointment represents time that is allocated just for you. Please notify us as far in advance as possible if you will be late or if you need to cancel or reschedule your appointment. When possible, we appreciate a minimum of 24 hours' notice. Our goal is to see our patients when they want and need to be seen. Please help us accomplish this by taking your appointment time seriously and making a commitment to remember and keep it.

Forms

Download
New Patient Registration Form*
Notice of Privacy Practices*
Hippa Omnibus Notice*

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.

   Services Include:    Contact Us: 732-551-2003


1006 Commons Way, Building G
Toms River NJ 08755
Phone: 732-551-2003
Fax: 732-551-2033



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New Jersey Family Practice, Toms River Family Practice
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