NEW PATIENTS

If you are interested in joining the Metropolitan Elite family, be sure to review and fill out the following documents prior to your first appointment.  

Metropolitan Elite Family Practice Registration Form

Adult Medical History Form

Pediatric Medical History Form

Consent to Treatment Form

Medical Release Authorization Form

Metropolitan Elite Patient Pay Policy

HIPPA Form

 

Notice to Patients

  • Copays / deductibles are due on the day of service
  • For patients with unmet deductibles, per your insurance, Metropolitan Elite Family Practice is required to collect charges and your insurance will apply charges towards remaining deductible
  • Additional medical concerns during your physical examination appointment require a copay / visit charge. This charge will be collected on the day of service
  • Form completion requires an appointment and a forms completion fee of $25.00 may be assessed 
  • Please make request at time of visit for prescription refills when possible. Otherwise, allow 72 hours for completion
  • Please allow 48-72 hours for a return phone call
  • After hours call backs are subject to a fee / charge to your account.