New Patient Registration Procedure 

 

1. Contact me, Dr. Hirsch, by . Let me know why you are interested in my practice and your insurance company (if any).   I will place you on the waitlist.

2. If accepted, you will receive a confirmation email from me with an invitation to begin the new patient registration procedure (this list). 

3. Print out the New Patient Packet and fill it out completely! Click here. Please bring it with you to the appointment. This packet has the practice's policies, a checklist for what to bring to your appointment, and a signature page that allows me to treat you. Please give the Authorization to Disclose Information form to your previous physician prior to your appointment in order to transfer your old records to me. 

4. Print out the  Medical History Questionnaire. Please download the history form, print it, and fill it out by clicking here. Be aware, it should take approximately 1 hour to complete and there is a 3 day diet diary. All patients should come to the new patient visit with all active prescription medications in hand, and be prepared to discuss their past medical history in detail. Preparing beforehand by completing the survey will help patients get more out of their office visit. 

5. Decide whether you would like me to be your Primary Care Physician or a Consultant. If you'd like me to be your Primary Care Physician, call your insurance company by calling the customer service number written on your insurance card and let them know. However, if you would like me to do a Holistic Medicine Consultation, just ask your doctor for a verbal or written referral to see me. That way, you can see me as well as your primary care doctor! 

6. Transfer your medical records. Each new patient should request a transfer of medical records from their previous physician using the form that is available in the New Patient Packet (see above- it's called the Authorization to Disclose Information form). Inquire of the cost of transferring records before submitting the form! If costs are prohibitive, you should contact Dr. Hirsch to decide which elements of the medical record are essential. Patients can be seen before I receive this information, but please request the transfer before your appointment.

6. Schedule a "New Patient Visit" by clicking here. Your visit will last 2 hours. Children under 18 with non-eventful past medical histories may schedule a "Well Child Office Visit" (60 minutes) for the new patient visit. Previous St. Peter Family Medicine patients: Please schedule a "New Patient" visit as well.

 

 Be aware, for most patients with complex or chronic illness it will take a few visits before our plan for healing is solidified. 

 

8. Acupuncture patients: please see the Medical Acupuncture page

   © 2007 Evan H. Hirsch, MD, Inc, PS

Hirsch Holistic Family Medicine