Anna Lerner Angeles M.D. PC
 

NEW PATIENTS



Please print out the completed NEW PATIENT FORMS prior to your initial new patient office visit. Be sure to read and complete all documents in full.  Our office must receive your completed forms 48 hours prior to your scheduled appointment.  You may fax them to us at 631-670-6704, mail them , drop them off or email to drlernervm@gmail.com.   If you are unable to print out the necessary documents, please feel free to call our office so we may fax or mail them out to you as soon as possible.




IMPORTANT NEW PATIENT INFORMATION

 

Please bring the following when you come for your first visit.

 

 

*You must bring your up to date health insurance card(s) with you and photo ID.

 


*All fees and co-payments are due at the time of service. Please refer to your insurance plan on what charges are covered. Any charges that are not covered are the patient's responsibility and are payable at the time of service. Acceptable forms of payment are cash, check or credit card. We do not currently accept American Express, Diners club or Pay Pal.

 

 

* In the ever changing world of insurance regulations and guidelines, much confusion exists about your covered annual wellness/preventive exam. Most people are entitled to an annual wellness exam at no cost to them, as defined by your insurance policy. It is a review of immunizations, habits such as smoking and exercise, diet and screening tests for colon cancer, breast cancer and diabetes.

 

 

*Before your initial appointment ,please check with your insurance carrier to confirm that Dr Anna Lerner Angeles is an active provider and that you are still eligible with your coverage.