Dr. Ivey-Crowe  looks forward to meeting you! On your first visit please arrive 15 minutes prior to your appointment time.  The NEW PATIENT forms can be downloaded by following the prompts below.  If your insurance requires a referral, please bring it with you to your appointment.

Also have the following items with you:

  • Valid Drivers License or State ID
  • Insurance card(s)
  • List of medications you take on a regular basis, including over-the-counter medications and vitamins.
  • List of surgeries or medical procedures you have had
  • Any medical history documentation or reports for consultations
  • Payment for your co-pay or any non-covered services.

 

We accept cash, check, VISA, MasterCard, American Express and Discover cards.

 

 

Patient Forms 

Please download, print and complete prior to your appointment.

New Patient Questionnaire

Wellness Form

Authorization to Release Patient Information

Patient Information Form

HIPAA Notice of Privacy Policy

Financial Policy

Notice of Deemed Consent – HIV Blood Testing

Insurance Certification and Release Authorization

 

 

Prescription Refills

If you are calling for a prescription refill then please call your pharmacy. If you desire a new prescription or to change your pharmacy, then please call me during office hours when I will have access to your chart to ensure the best course of treatment. These changes will only be made during office hours. Please have the phone number for your pharmacy available at the time of your call.