Your First Visit

What to bring to your first visit

  • Any relevant information on your condition including doctors notes, X-Ray, CT or MRI films or disks, and any information on medicines you take.
  • All of your insurance cards- primary, secondary and any supplemental information that will be useful to the office staff.
  • Payment for services rendered after your visit. We expect patients to pay their full co-pay, co-insurance, in-network deductibles in keeping with your insurance plans’ rules.

Patient Forms

If you are a new patient or are coming back to Dr. Daluiski after over a year, it will help speed up your care the day of your visit if you can print out the following two forms and bring them with you to your visit:

printPatient Profile

printRegistration form

printHPI form

X

Tell a Friend

captcha