BECOMING A PATIENT
We are honored that you are considering care with Jaffee Ethical Addiction & Pain Care. Please review the following steps and requirements to ensure a smooth first visit:
1: Referral (Optional)
A referral from your doctor is appreciated but not required to become a patient.
2: Insurance & Payment
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We’re currently in the process of rejoining insurance networks.
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If we’re not yet in your network:
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We can still see you if you have out-of-network benefits.
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We’ll work with you to minimize costs and may arrange a reasonable payment plan if needed.
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Co-pays and balances are due at the time of your visit.
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3: Medical Records
If you’ve had any X-rays or MRI scans, please have your provider send those to us before scheduling your appointment.
4: Patient Forms
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Download and complete the forms.
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Bring them to your first visit.
5: Scheduling
Email us at info@jaffepainclinic.com to request an appointment.
Once we receive your forms and medical records, we’ll confirm your appointment date and time.
PATIENT FORMS
BEFORE YOUR APPOINTMENT
Before Your Appointment
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Confirm your appointment by email.
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Bring your ID and insurance card.
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Arrive 10–15 minutes early to review your paperwork.
