New Patient Information

Your first visit to our office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.

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Preparing for Your Appointment
at Upperline Health Madison

All new patients should arrive 15 minutes before their scheduled appointment time to complete any necessary paperwork. If your insurance plan requires a referral, please obtain one prior to scheduling an appointment.

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What you need to complete the process:

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• Patient Name

• Patient Date of Birth

• Patient Address

• Phone Number

• Email Address

• Insurance Provider

• Insurance Plan Name

• Insurance Group ID

• Insurance Member ID