James C. Wasson, M.D., P.C.

New Patients Welcome

What should you bring to the visit?

In addition to your insurance cards, here is a checklist of items to bring to make the most of your exam.

1. If you have access to a printer, bring the new patient packet from the link below and have all forms filled out prior to your visit. We have additional copies in the office if you need them.

2. If you are taking any medications at all, bring them in their original bottles or write a list of the Medication, including dose and frequency of administration. You may use the medication form in the link below for your convenience.

3. If you are under 18, bring your immunization record. This can be obtained from your previous doctor or the school you are attending may have a copy.

4. Bringing a list of your concerns that you would like to have discussed at the visit will be helpful for your complete exam.

5. Bring a smile and relax. For some people, doctor visits can be very stressful. We offer a welcoming staff and we strive to provide the best healthcare for you and your family.

New Patient Form Packets below include Patient Registration form, Medical History form, Assignment of Benefit form (so we can bill your insurance company), HIPPA form (Privacy Act), and our e-mail policy.

New Patient Forms

New Patient Forms for Patients over 65 years For patients over 65, included in your packet is an advanced directive questionnaire required by most insurance companies as part of your preventative care.

Medication history form If you are taking several prescription medications, supplements and/or over the counter medications you may want to bring this form to your visit to keep Dr. Wasson informed on what you are taking.

Record Requests

If you are a patient that would like to have you records transferred from another physician to Dr. James C. Wasson, then print out the form below. Once the form is completed, you can send it to the physician who has your records or you can bring in the form to us and we would fax it to them.

Records Request from another physician to Dr. James C. Wasson

If you are a current patient and would like your records transferred from Dr. James C. Wasson to another physician, then print out the form below. Once the form is completed, you can mail it to Dr. James C. Wasson.

Records Request from Dr. James C. Wasson to another physician/facility
 

New Patient Packet of Forms ( Please complete all pages prior to your appointment )
2016 New Patient Packet.pdf
Adobe Acrobat document [158.3 KB]
Medication history form ( use this if you need extra space for you medications )
Medication+History+Form+-+updated+201202[...]
Adobe Acrobat document [6.6 KB]
Records Request from another physician to Dr. James C. Wasson
AUTHORIZATION+TO+RELEASE+to+get+Records.[...]
Adobe Acrobat document [70.1 KB]
Records Request from Dr. James C. Wasson to another physician/facility
AUTHORIZATION+TO+RELEASE++to+send+to+ano[...]
Adobe Acrobat document [19.6 KB]

Contact Us Today!

James C Wasson MD PC


534 S Main St
Nazareth, 18064


Phone: 610 746 1860 610 746 1860

E-mail: info@drwasson.com

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