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VISIT CHECKLIST

Our goal is to help your experience to be organized and seamless. Not only do we strive to provide exceptional orthopaedic surgery and sports medicine care, we also strive to do so in a very individualized way with the highest level of personalized care.

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​When you come for your appointment please remember to complete, obtain and bring the following items:

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  • Complete all sections of the Patient Registration and New Patient Health History forms, and bring the completed forms with you to your first appointment. This will save you time and make the check-in process easier for you.

Patient Registration Form

New Patient Health History Form

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  • Referral authorization from your primary care or specialist physician prior to your first appointment. Some insurance carriers require a referral or primary care physician authorization before orthopedic treatment is given. Please check with your carrier to be certain if these are necessary.

  • Insurance card or other health coverage information (see insurance we accept).

  • Driver’s license or a valid photo ID. 

  • Copies of medical records, X-rays, MRIs, CT scans, etc. Always bring the actual images on discs. You can obtain a copy of the disc where you had your imaging performed. It is better to bring these items yourself rather than rely on another office to send them. This allows Dr. Ziegler to conduct a comprehensive evaluation of your condition. 

  • List of medications (if any).

  • Any other relevant information.

  • Payment in full is expected at the time of your visit. Exceptions include workers compensation, Medicare, and preferred provider contracts (copay only). Check your insurance information to identify whether NEOS is a preferred provider for your policy. Please be prepared to take care of your co-payment at the time of your visit. For your convenience, we accept Visa, MasterCard, American Express, Discover, cash or check. Please contact our billing office if you have any questions or concerns. (413) 785-4682.

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If you need to cancel an appointment:

Please call Dr. Ziegler’s office during business hours and allow at least a 24 hours notice so we can offer your appointment time to patients on our waiting list.

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Our team recognizes your time is valuable, and we make every effort to run on time. Occasionally, medical emergencies or patients require a little more time and these cause scheduling delays beyond our control. We apologize if we keep you waiting.

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