Gynecologic Care with Janice Lyon, M.D.

New Patient Consents

Initial Medical Appointment
Since this is your first appointment with our office, we need to cover some formalities beforehand.

Please read the privacy report information and consent.
Please read the consent for examination, diagnosis, and treatment.
Please read the consent for prescription medication use.
Please read the consent for vaccination or declination of vaccination.
Please read the consent for transfer of records to your insurance company in the event they request same to determine payment.
Please read the consent for direct payment of medical office by insurance company.
Please read the consent for assuming responsibility for the balance of your bills not paid by your insurance company.
Please read the advance health care directives information.
You will be asked to sign that you have read and understand these upon arrival in the office.

Please bring your photo ID, driver's license, or state ID card and your health insurance card to you appointment.  You will be asked to pay in full by credit/debit or in cash and will be reimbursed after your insurance pays, if you do not bring your insurance card the day of the appointment.

If you want your urine analysis, please arrive with your bladder full to give a good specimen upon arrival.