Existing Patients
To get the most out of your appointment, being prepared is key.
Please do your preparation for your upcoming appointment
| Please complete the following: |
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1. Re-read the last dictated note from Dr. Mozayeni or Beth Renne, NP |
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2. Submit, AT LEAST 1 week in advance, your status update (Click Here). This written update saves the practitioner time and saves you money. These details are very helpful to the practitioners before each appt. This form is a fillable pdf • It is NOT acceptable to just state nothing has changed! Please have someone assist you with this if you need it. |
| 3. Use this template and submit an UPDATED complete medication and supplement list (Click Here) in the new required format for all medications/supplements you are currently taking listed by medication name, dose and then how many times daily you take it. This form is a fillable pdf • It is NOT acceptable to just state nothing has changed! Please have someone assist you with this if you need it. It is a crucial aspect of your treatment to know exactly what you are taking. |
| Please submit your completed forms using the button below |
Securely send documents to TMG Office – Use the button below to send us documents securely.
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