Dear Patient,

Thank you for entrusting care to us. To provide you with the best service and be responsive to your needs I suggest the following:

1. Obtain records from previous health providers especially if they are neurologist or sleep specialists as well as test results such as MRI's, CAT scans, Lab work, EEG's and sleep studies.
2. Bring a written list of all medications you are currently taking.
3. Bring a diary of your symptoms and a list of your questions that you would like to address with the doctor at each appointment.
4. Always fill out the patient update sheet before each visit.
5. Please check all medications that need to be refilled; typically you will be given enough medication to last until your next follow up visit. If you run out of medication before hand then your medical condition needs to be reassessed and a follow up visit is in order.
6. If your health status changes, you have new symptoms, having pressing concerns or forms which need to be filled out quickly, etc. we recommend that you make an earlier appointment. We will make every attempt to see you on an emergency basis.
7. If you miss an appointment without giving a 24 hour notice you will be charged a $25.00 no show fee. And if you miss an appointment more than once without notifying us 24 hours in advance, you will be discharged from the practice.
8. Pain medications for migraines or pain syndromes are prescribed not more than 30 month to prevent rebound headaches/ addiction/ habituation etc. If you loose a prescription and/ or pill bottle, I will not under any circumstances refill them.
9. At the time of your visit a letter is dictated and mailed to your referring physician and any other physician you would like copied on your behalf, and you will receive a copy of this letter at your next visit.
10. Please signify if you want normal results of your tests mailed, telephoned, or discussed at the next follow up visit. It is essential to your health that a follow up appointment be scheduled to ensure continuing care.

I appreciate the opportunity to care for you.

Sincerely,
Konrad W. Bakker

PLEASE SIGN THAT YOU HAVE READ THE ABOVE:

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