Patient Resources & Appointment Preparation

Dear New Patient, Thank you for choosing the California Ear Institute at Palo Alto. It is our every desire to provide you with excellent and timely service. The following guidelines were designed to facilitate this process. On the day of your Appointment Please complete the downloadable forms and bring completed to your appointment. A map with directions you can also download below.

• Please arrive 15-20 minutes prior to your scheduled appointment time.
• This will allow us to complete the registration process in a timely manner.
• Please note that arriving late may result in your appointment being rescheduled.
• Please bring your current insurance card to every appointment.
• If your insurance requires prior authorization/referral, we will need to have this on file before you can be seen.
• If you arrive for your appointment and we cannot verify your insurance coverage or authorization, you may pay in full at the time of the visit or reschedule your appointment.
• Be prepared to pay your co-payment at every visit.
• Your co-payment amount is normally indicated on your insurance card.
• For your convenience our office accepts checks, cash, and all major credit cards.

We will make every effort to accommodate your scheduling needs. In return, we ask that you help us by keeping your scheduled appointments or by notifying us at least 24 hours in advance if you are unable to do so. A charge will be made for ALL broken appointments unless a 24-hour notice is given.

Please download, print the following forms:

	Patient Office Forms	Downloadable Office Directions
	New Patient Letter Registration Form Privacy / HIPAA Form Privacy Policy Cancellation Policy Dizziness Questionnaire Medical Release Form	Palo Alto Office Directions San Ramon Office Directions Santa Rosa Office Directions
Forms Require Free Adobe Reader Software - download here if needed

Thank you for your cooperation. We are looking forward to being of service to you and your family.

Cancellation Policy

We will make every effort to accommodate your scheduling needs. In return we ask that you help us by keeping your scheduled appointments, and by notifying us in advance if you are unable to do so. We currently have a waiting list for appointments and when you give us advance notice we are often able to accommodate other patients.

Thank you for your courtesy.