We welcome you to our practice.

Prior to your visit, we would like you to print out the following forms and complete them. (If you cannot access these forms online, you can call the office and request that the forms be mailed or faxed to you.) You can mail or fax your completed forms to the office where you will see Dr. Laudenbach prior to your visit or bring the completed forms with you that day. The fax numbers are in the right column. For mailing addresses, click here. If you can’t complete your forms in advance, please arrive 20 minutes ahead of your scheduled appointment time.

The following forms are PDF files. If you can’t open them or don’t have Acrobat Reader installed on your computer, please click on the following link for a free download.

Medicare patients: you must also complete the Medicare Patient Form (Opt Out form) before each visit, including the first. Please keep in mind that our practice does not contract with Medicare and you will not be reimbursed by Medicare for services rendered by our practice. This form indicates that you understand this.

PLEASE NOTE:

You may also be required to provide other items relevant to your case. You can find examples of these items, by clicking here.

If you have any questions about preparing these forms or acquiring background items from another health care practitioner, please call the office where you will see Dr. Laudenbach.