New Patient Appointment Checklist

New Patient Appointment Checklist

Please bring the following items with you to your first appointment:

  • Completed applicable New Patient Forms which can be found below in the New Patient Forms Section
  • List of all medications you are currently taking and the dosage
  • Insurance Card(s)
  • Preferred Pharmacy Name
  • Payment Method (cash, check, or major credit card)
  • Relevant Lab Reports (P.S.A., semen analysis, urine culture, etc.) if not already on file at Dr. Head's office
  • Abdomen and pelvis X-rays, CT scans, and/or MRIs that are not already on file at Dr. Head's office

New Patient Forms

Feminine Wellness Assessment

Is Votiva Right for You?

BioTe Patient Forms