We would like to welcome you to East Bay Nephrology Medical Group as a new patient.

You have been scheduled for an appointment with one of our providers in the coming weeks.

Please arrive at the office 30 minutes prior to your first visit so we can ensure all the appropriate information is updated in our Electronic Health Records System. For your convenience, you can download the new patient questionnaire here. We request that you complete and return all enclosed documents either by mail, fax or email (or in the return envelope provided), two weeks prior to your appointment.

You will need your insurance card(s) and a picture I.D. at the time of your appointment. However, you can also provide copies along with the other documents.

We will request your medical information from the referring physician with your permission. Please follow up with your physician’s office to have your records released.

Our policy is to collect co-payments and co-insurance at the time of service. If you are unable to make payment at the time of service, please contact our office prior to your appointment to make financial arrangements. For your convenience, we accept Cash, Check, Visa, Mastercard, Discover and American Express.

To summarize the information above:

•Please complete the downloaded forms and send them in two weeks prior to your appointment;

•Arrive 30 minutes before your scheduled appointment to complete the paperwork;

•Bring all insurance cards and photo I.D.;

•Bring in all your medications with you at the time of appointemnt;

•Be prepared to give a urine specimen when you arrive in the office;

•Be prepared to make any necessary insurance co-payment at the time of your visit.

We would like to thank you for this opportunity to serve you and look forward to meeting you soon. If you have any questions, please contact our office and the staff will be happy to assist you in any way possible.

Sincerely,

East Bay Nephrology Medical Group