INFORMATION & FORMS
What you need to bring to your first appointment:
- Your medical records
- A list of your current prescriptions
- Your insurance information
- Vaccine records
In order to make your appointment as time-efficient and stress-free as possible, please download, print and fill out any of the following applicable forms prior to your appointment date.
Authorization for Release of Medical Records from Another Doctor to Dr. Waneka
Authorization for Release of Medical Records from Dr. Waneka to Another Doctor
Authorization for Treatment of a Minor
Patients who need a TB Screen😕
Tuberculosis (TB) Screening??
Patients who need Flu Shots😕
Influenza Vaccine Consent