|
Please complete the fields below and your message will go directly to our email inbox. We will respond to your inquiry within 5 business days.
(This form is not to be used for urgent matters. If you need something right away, please give our office a call. In case of emergency, dial 9-1-1.)
Use this form to send an email for an appointment or to simply send a message to Dr. Usborne or his staff! (All questions sent through email will be incorporated as part of the medical record.)
Email us! inquiry@usbornefamilymedicine.com
What to Bring to the Appointment:
-
Your Insurance Card(s)
-
Your copay (if applicable) We do not accept checks for your first visit, so please bring cash or major credit card.
-
Your Driver's License or Photo Identification
-
A list of over-the-counter medications you are taking...please include the dose and frequency
-
Pertinent information about your medical and surgical history
-
Any prescription medications in their original bottles
-
Any recent lab work
|