Internal Medicine - Patient Forms


 

Prior to requesting an appointment, please contact your insurance company and verify if Dr. Comia is a participating provider with your insurance plan. Once confirmed, you can begin your journey towards optimized health by calling the office to schedule an appointment.

Complete the NEW Patient Forms below. Submit it to our office prior to your scheduled appointment in order to allow sufficient time for transcription into our electronic health record system.

  1. Patient Registration Form
  2. New Patient Medical Questionnaire
  3. Insurance Waiver
  4. Privacy Notice
  5. Policy on Missed Appointments
  6. Authorization of Release of Records
  7. Wellness Physicals Form

*To download these forms, you must have the Adobe Acrobat Reader

For questions, please contact our office (860)242-2200.