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PATIENT INFORMATION

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Please download and complete the patient information and healthcare history documents using the link below and bring them with you to your appointment. 

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If you are a new Gynecology Patient, download new patient documents HERE.

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If you are a new Addiction Treatment Patient, download new patient treatment documents HERE.

ABOUT YOUR VISIT
Preparing for your appointment

Having a basic plan can help make the most of your appointment. The following tips will make it easier for you and your physician to cover everything you need to talk about.

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Download New Patient Healthcare History Documents

 

Download the new patient healthcare history documents that are applicable to your type of visit and complete using the links located above on this page. Please arrive 15 minutes early for your scheduled appointment.

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List and Prioritize Your Concerns​

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Make a List of what you want to discuss. Do you have a new symptom you need to ask the doctor about? If you have more than a few items to discuss, put them in order and ask about the most important ones first. Don't put off what is really on your mind until the end of your appointment. Dr. Teasley has heard it all, please do not let a matter that is of concern to you go unaddressed because you are too embarrassed to discuss it.  Dr. Teasley wants to make sure all your healthcare concerns are addressed and that you leave having a successful and pleasant experience and are satisfied with your treatment plan.

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Bring Information with You

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Please bring a list of all your prescription drugs, over-the-counter medicines, vitamins, and herbal remedies or supplements with you. You should also bring your identification, insurance cards, names and phone numbers of other doctors you see, and your medical records if your doctor does not already have them.

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Consider a Sitter for Your Young Children

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While Dr. Teasley and her staff love children and welcome them, please consider securing care for your little ones to help ensure there are not any distractions while your healthcare needs are being tended to.

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Be Sure You Can See and Hear As Well As Possible

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Many people use glasses and/or need hearing aids. Remember to take your eyeglasses to the doctor's office. If you have hearing aids, make sure that they are working properly and wear them. If you have trouble seeing or hearing please let the physician know so she can ensure you are clearly understanding her.

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Hygiene is Important!

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Simple water and soap will do. Please avoid heavy perfumes and cologne.

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Plan to Update the Doctor

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Let your doctor know what has happened in your life since your last visit. If you have been treated in the emergency room or by a specialist, tell the doctor right away. Mention any changes you have noticed in your appetite, weight, sleep, or energy level. Also tell the doctor about any recent changes in any medication you take or the effects they have had on you.

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