Patricia Bearnson, M.D.

Sexual Medicine & Menopause Center

New Patient Forms

Thank you for choosing Sexual Medicine and Menopause Center, Patricia Bearnson, M.D.

We are committed to excellent patient care.  We look forward to meeting you and developing a long lasting relationship.  Our goal is to provide you with information that will answer your questions and help make your first visit a pleasant one.

Dr. Bearnson is very thorough in the complex treatment of sexual health, hormone therapy and osteoporosis consults, most first appointments are scheduled for 45 minutes.  These appointments are not combined with wellness check, annuals, pap smears, or other gynecological visits.

Routine wellness visits, annuals, pap smears, and general gynecological needs are scheduled with our Nurse Practitioners, Ronda Lucey and Sue Webb.  They see patients on Tuesdays and Fridays.

If for any reason you need to change or cancel an appointment, please do so as soon as possible.  Appointments cancelled, changed, or missed may incur a $50.00 cancellation/change fee.

REQUIRED PAPERWORK So that we may better serve you please click on the links below and print out the associated paperwork.

Patient Information Form

Health Questionnaire Form

Arbitration Form

Financial Form

HIPPA Form

 

INSURANCE

Prior to your appointment please check with your insurance company and make sure you are covered for the requested appointment or test.

Our agreement with your insurance company dictates that we collect your co-payment at the time of your visit.  We are unable to bill your co-payment, therefore we will need to reschedule your appointment if you come unprepared to make payment.

As a courtesy our billing office will bill your insurance company. We will bill all insurances however, if we are not a provider for your insurance company will ask you to pay for the visit at the time of your appointment.  Please make sure you bring a current insurance card to every appointment.

We Are Providers For The Following Insurances:

Aetna
Altius
Blue Cross Blue Shield
Cigna
IHC Care and Choice Plans
Medicare
PEHP

If your insurance is not on the list please check with your insurance to verify we are a provider on your plan.