There are 3 sets of forms required for new patients listed below:
1. Release of Information form - We need this form as soon as possible in order to request your medical records from other providers involved in your care. If our office does not receive this form in a timely manner then our office will be unable to obtain medical records relating to your condition. In order for your appointment to run smoothly and in a timely manner we require having medical records prior to appointment. If we do not receive your release of information in a timely manner we will, unfortunately, have to reschedule your appointment.
2. Assessment form - The assessment is detailed but it is so we can provide the best care to you! Please take your time filling this form out and give us as much detail as you need to. Dr. Dassopoulos requires that the health assessment is done prior to you coming in for your appointment. Dr. Dassopoulos will evaluate your history and present day symptoms to prepare for your upcoming visit.
3. Registration forms - You may bring these to your appointment.
Please fill these out completely. You can either fax or email your forms to the clinic. This helps reduce delays at your appointment time. Due to the complex nature of the specialty care that we provide, your appointment may take 2 – 3 hours from the time you check-in to the time you check out.
You can find all forms under the Forms tab.
For life‐threatening situations, call 911. If you have an urgent problem after hours, please call our office and you will be forwarded to our answering service. They will page the physician on call.
Monday - Friday
8:30 a.m. - 4:30 p.m.
Dr. Dassopoulos will take patient calls personally on Monday & Wednesday from 2:00-3:00 p.m. and Friday, 10:30-11:30 a.m.