Thank you for choosing the office of Dr. Rodney Russell. We believe you'll find this to be unlike anything you've experienced before when it comes to your health. Please take a moment to read through the NOTICE OF PRIVACY PRACTICE. Then print out the NEW PATIENT INTAKE paperwork, fill it out and bring it with you to your scheduled appointment. Please note that we are a cash practice and do not file insurance. We do, however, also take Health Savings Account cards. Also note that we have a 24 hour cancellation policy. If you must cancel or need to reschedule, we ask that you call us prior to 24 hours before your scheduled visit to avoid a cancellation fee. The fees are noted on the New Patient Intake paperwork.
*Please note that this document is to be filled out electronically on your desktop. To do so, please "Save As" to your desktop and fill it out. Then when you have completed the form, please SAVE IT AGAIN to save your work and e-mail it back to us 2 days prior to your appointment at DrRodneyRussell@aol.com. If you would prefer to have a regular PDF, please call our office and we will e-mail that to you. You will then need to print it, fill it out, scan it and send it back to us.