New Patient Letter 2015 2 .pdf

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Original filename: New Patient Letter 2015 2.pdf
Title: Microsoft Word - New Patient Letter 2015 2
Author: Kelly

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McLean County Foot and Ankle
PLEASE READ THE FOLLOWING LETTER CAREFULLY.
*Bring all completed forms with you to your appointment. DO NOT MAIL THEM.

Welcome to McLean County Foot and Ankle! Your appointment has been confirmed with
Dr. _______________________ on _______________________ at _______________________.
Physician

Date

Time

Please bring the following with you to your appointment:
All forms included in this mailer, completed
Insurance card
Photo ID
X-Rays, if taken (related to your visit)
_____________________________________________

If this is a workers compensation related injury, please bring:
Your case workers contact information
Case number
Any other pertinent information

Please note that all co-pays must be paid prior to your appointment, or your appointment will be
rescheduled. If you have not had X-Rays prior to this visit, please arrive 5-10 minutes early. All
questions can be directed to (309) 662-9001.
Thank you for choosing McLean County Foot and Ankle. We look forward to our visit.
Sincerely,
The MCFA Team
McLean County Foot and Ankle | 1404 Eastland Drive, Suite 104 | Bloomington, IL 61701
www.mcleancountyfootandankle.com


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