dr.shane sopp and kathy goff, npdr.shane sopp and kathy goff, np

patient info center

 

SAVE TIME! Download, Print and Fill Out the Forms You Need Below:
(Adobe Acrobat Reader .pdf files)

dr.sopp new patient forms

womens incontinence new patient forms

Please completely fill out the paperwork and send back to our office.
When our office receives your paperwork, we'll call you to schedule
your appointment or we'll send you a postcard containing all your
new appointment information.

The day of your appointment, please bring your insurance card(s)
with you. If your insurance does not cover the visit or our office
does not participate with your insurance, you will be responsible
at the time of service for your visit.

Also, if possible, please call your previous doctor(s), if any, and
request records to be sent to our office prior to your appointment.
Please ask for, at least, your last 2 years of pap smears, mammos,
office visits and any sonograms surgeries or gynecological
problems you may have had. This information will be very helpful
at the time of your appointment.

If you have Medicare for Insurance our office will bill Medicare
on your behalf.

Thank You,
Shane M. Sopp, M.D.
Kathleen M. Goff, F.N.P.

 

Shane M Sopp, MD, PC does not discriminate against any person
on the basis of race, color, national origin, disability, or age in
admission, treatment, or participation in its programs, services
and activities, or in employment.

For further information about this policy, contact:
Katie Wagner, office manager, at (315) 492-5005.
TDD / State Relay 1(800) 537-7697.

 

** Please do not email any URGENT medical queries, instead, feel
free to call our office for immediate assistance (315) 492-5005.

 

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