Bagshahi Bariatric and General Surgery Welcome! Thank you for choosing Bagshahi Bariatric and General Surgery for your surgical treatment. Enclosed you will find the new patient paperwork which we ask that you bring with you to your initial visit. We also ask that you please arrive 15 minutes early to allow adequate time to process your paperwork. You will also need to bring: Photo ID Health insurance information, including a referral from your primary care provider (if required by your insurance carrier) Medical records, including your previous diet history (if available) All medications you are taking or a detailed list including over the counter medications, herbal products, and vitamins. Any operative (surgical) reports or pertinent imaging studies (UGI, EGD, CT) Method of payment for services rendered (i.e. copay, coinsurance, deductible), and/or payment in full for non-covered services. If you have any questions or require additional information, please call 817-250-6210 Sincerely, Dr. Hossein Bagshahi and Confidential Proprietary Information Patient Registration/Policies 06/15/2015 Bagshahi Bariatric and General Surgery
Bagshahi Bariatric and General Surgery Welcome! Thank you for choosing Bagshahi Bariatric and General Surgery for your surgical treatment. Enclosed you will find the new patient paperwork which we ask that you bring with you to your initial visit. We also ask that you please arrive 15 minutes early to allow adequate time to process your paperwork. You will also need to bring: Photo ID Health insurance information, including a referral from your primary care provider (if required by your insurance carrier) Medical records, including your previous diet history (if available) All medications you are taking or a detailed list including over the counter medications, herbal products, and vitamins. Any operative (surgical) reports or pertinent imaging studies (UGI, EGD, CT) Method of payment for services rendered (i.e. copay, coinsurance, deductible), and/or payment in full for non-covered services. If you have any questions or require additional information, please call 817-250-6210 Sincerely, Dr. Hossein Bagshahi and Confidential Proprietary Information Patient Registration/Policies 06/15/2015 Bagshahi Bariatric and General Surgery
Patient-Registration-and-Policies-Bagshahi-1.docx