Clinical Department

Plastic and Oral Surgery

A checklist for your child's Plastic Surgery appointment:

Name, address and telephone number of your referring physician

Name, address and telephone number of your primary care physician (family doctor)

Completed History and Physical Form

List of medications and dosages your child is taking

Any medical records, X-rays, ultrasounds, MRI's or lab results from other facilities

Social Security number of the patient and the subscriber on the insurance

Insurance card(s) and insurance information

Insurance referral

Copayment (payable at time of service)

 

For worker's compensation or accident/injury related visits:

Claim number

Name of adjuster

Contact telephone number

Address of worker's compensation company

 

Other helpful items to make your visit more enjoyable: 

Books to read while waiting

Snacks

Formula, diapers or a change of baby clothes

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