Patient Guide

Preparing for your visit

Before your appointment, review the items that were mailed to your home:

• A Guide for Your Visit to Mayfield
• Confirmation of your appointment date and time
• Forms to complete before your appoinment
• Map to the office
• Information about your physician
• Patient financial responsibilities form

Bring these items to your first appointment:

• Completed forms, including a list of medications and dosages
• MRI or other images and written reports, unless already provided during Priority Consult
• Any other written reports
• Name and address of your family doctor and other referring physician
• Insurance card and/or Medicare or Medicaid card
• Referral or authorization forms, unless already provided during Priority Consult
• Workers' compensation claim allowance letter, unless already provided during Priority Consult
• Any special forms that need to be completed
• Payment for services not covered by insurance, including copayment, coinsurance and deductibles
• Signed patient financial responsibilities form
• Photo identification

Delays and Cancellations

If you will be late for your appointment, please notify us as soon as possible. If you need to reschedule or cancel an appointment, please call our Access Coordination Department at least 24 hours before your appointment.

Because our physicians are sometimes called into medical emergencies, there may be times when your office visit is delayed or canceled. If this happens, we will notify you as soon as possible. If necessary, we will reschedule your appointment at the earliest possible time.

 

Download the Patient Guide

---

FAX Numbers for Mayfield Offices

---

Your Medical Records