Copperfield Family Medicine, P.A.
Offices of Arthur W. (Trey) Hillert, MD & Carlotta Hillert, MD

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For New Patients

Welcome to our office.  We're glad you're here.  Our staff of professionals is ready to assist you with concerns or questions.  It is our goal to provide you with prompt, courteous service. 

In preparation for your appointment with us, we have several suggestions that should make your visit as pleasant as it can be.  We have developed a checklist that all patients should come ready with for their appointment:

1) Be sure that you have your most recent insurance identification card and a valid driver's license or other form of picture ID.  We will make a photocopy of both.

2) Please arrive 30 minutes prior to your scheduled appointment time so that we may prepare your chart.  This includes verifying your insurance and checking on deductible.

3) There will be some forms for you to complete regarding the reason for your visit, medical history, allergies, and medications that you are taking (or have recently taken).  If you do not routinely carry a list of your medications, please prepare one or bring in your medication bottles so that you will be able to provide all necessary information.  The FOUR pages of forms that you will need to fill out for us prior to seeing the doctor are available in pdf format for printing by clicking on the THREE links here:

     1) REGISTRATION         2)HEALTH HISTORY 1 & 2      3) CONSENT



The forms are also available at our office upon check-in.

4) Payment for services is due upon arrival.  If you are using health insurance, you will be responsible for your insurance copayment or deductible at the time of arrival.  For your convenience, in addition to cash, we also accept checks, MasterCard, VISA, and Discover Card.
 
By working together, each visit in our office can flow smoothly and easily.  We pride ourselves on punctuality, because your time, like ours, is valuable.


Copperfield Family Medicine, P.A.
7555 Cherry Park Drive
Houston, Texas  77095
(281) 345 - 4747

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